Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Richard Rainville

Individual provider Physician Assistant · NPI 1023507290

Richard Rainville is a Physician Assistant in Park City, Utah. Qualified in 2022, 4 years ago. Practices with Numinus Wellness UT Inc, a 51-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
4
Licensed in
UT
In the registry since
2018
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1154 Center Dr Ste D250
Park City, UT 84098-1258
Phone: (385) 246-5971
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 13018873-1206 (UT)

Record details

NPI number1023507290
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 3, 2018
Last updated in NPPESSeptember 16, 2022
Certification dateSeptember 16, 2022
Mailing address1154 Center Dr Ste D250, Park City, UT 84098-1258

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Numinus Wellness Ut Inc — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Park City