Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Sunny Blue Alene Nelson, PA-C

Individual provider Physician Assistant · NPI 1801401344

Sunny Blue Alene Nelson, PA-C is a Physician Assistant in Murray, Utah. Qualified in 2020, 6 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
6
Licensed in
UT
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

5121 S Cottonwood St
Murray, UT 84107-5701
Phone: (801) 507-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 777 Hospital Way, Pocatello, ID 83201-5175 — (208) 241-2298

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 13444599-1206 (UT)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1801401344
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 11, 2020
Last updated in NPPESNovember 19, 2024
Certification dateNovember 19, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Murray