FREEDOM HEALTHCARE, LLC – General Practice Physician, NPI 1770916306

FREEDOM HEALTHCARE, LLC is a healthcare provider. based in Clinton, Utah. specializing in General Practice Physician. The organization holds a License No. 7465201-1204 (UT). The NPI Number for FREEDOM HEALTHCARE, LLC is 1770916306

Main info

Organization
Name
FREEDOM HEALTHCARE, LLC
NPI
1770916306
Phone
(801) 825-6597
Address
1448 N 2000 W Ste 11
Authorized Official
JEFFREY NELSON OWNER DO
Enumeration Date
19 August 2013
Last Update Date
19 July 2018
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

Provider Addresses for FREEDOM HEALTHCARE, LLC

  • 1448 N 2000 W Ste 11

    Clinton, UT 840158388

    Phone: (801) 825-6597

    Type: Location

  • 8899 S 700 E

    STE 250

    SANDY, UT 840701810

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-10-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20131016000638OClinic/Group PracticeUTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84015)

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Reviews

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Frequently asked questions

What is FREEDOM HEALTHCARE, LLC's NPI number?
FREEDOM HEALTHCARE, LLC's NPI is 1770916306 — the number used across U.S. healthcare to identify this provider.
Would FREEDOM HEALTHCARE, LLC appear as active to a payer?
You can treat FREEDOM HEALTHCARE, LLC as active for directory purposes; confirm clinical privileges separately.
How would a patient describe FREEDOM HEALTHCARE, LLC's focus?
For FREEDOM HEALTHCARE, LLC, the primary taxonomy reads as General Practice Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for FREEDOM HEALTHCARE, LLC?
Travel planning: use Clinton, Utah as the reference point for FREEDOM HEALTHCARE, LLC, then confirm.
When was this NPI issued?
Enumeration for FREEDOM HEALTHCARE, LLC is noted as August 19, 2013 where the registry provides it.

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