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

Wesley Robert Clegg

Individual provider Surgical Physician Assistant · NPI 1306491782

Wesley Robert Clegg is a Physician Assistant in American Fork, Utah. Qualified in 2019, 7 years ago. Practices with Revere Health PC, a 410-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
7
Licensed in
UT
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

1175 E 50 S # 211
American Fork, UT 84003-2845
Phone: (801) 418-0870
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3000 N Triumph Blvd Ste 100, Lehi, UT 84043-4999 — (801) 418-0870

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 11448348-1206 (UT)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 11448348-1206 (UT)

Record details

NPI number1306491782
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 2, 2019
Last updated in NPPESNovember 27, 2023
Certification dateAugust 27, 2020
Mailing address1055 N 500 W, Attn: Credentialing, Provo, UT 84604

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Revere Health Pc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in American Fork