Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Shane Mozingo

Individual provider Family Nurse Practitioner · NPI 1295347474

Shane Mozingo is a Nurse Practitioner in North Logan, Utah. Qualified in 2023, 3 years ago. Practices with Atlas Medical Alaska LLC, a 6-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
3
Licensed in
UT
In the registry since
2020
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2841 N 920 E
North Logan, UT 84341-5806
Phone: (435) 512-1066
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

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 10646550-3102 (UT)

Record details

NPI number1295347474
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 19, 2020
Last updated in NPPESDecember 14, 2020
Certification dateDecember 14, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Atlas Medical Alaska Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients105
Services billed 786 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Atlas Medical Alaska LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 6 clinicians in the practice; 4 are shown here.

Other providers in North Logan