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

Timothy Roger Stevens, PA-C

Individual provider Medical Physician Assistant · NPI 1417201419

Timothy Roger Stevens, PA-C is a Physician Assistant in Mt Pleasant, Utah. Qualified in 2011, 15 years ago. Practices with Revere Health PC, a 410-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
15
Licensed in
UT
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1075 S Hwy 89
Mt Pleasant, UT 84647
Phone: (435) 462-2044
Fax: (435) 462-2043
Show map & directions

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

Additional practice locations (1)

  • 65 E 100 N, Gunnison, UT 84634 — (435) 528-2130

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 9144918-1206 (UT)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 9144918-8906 (UT)

Record details

NPI number1417201419
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 30, 2012
Last updated in NPPESNovember 27, 2023
Certification dateApril 17, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Revere Health Pc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Mt Pleasant