IndividualActive
Coulson Boggess, PA-C
NPI 1215829775 · Physician Assistant · Park City, UT
Provider details
- NPI number
- 1215829775
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sole proprietor
- No
- License
- 14268687-1206 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
900 Round Valley Dr Ste 100
Park City, UT 84060-7552
Phone: (435) 655-6600
Fax: (435) 655-2388
Approximate (ZIP-level) locationGet directions
Mailing address
900 Round Valley Dr Ste 100
Park City, UT 84060-7552
Additional practice locations (2)
- 6340 S 3000 E Ste 200Cottonwood Heights, UT 84121-3552Phone: (435) 655-6600Fax: (435) 655-2388
- 380 E 1500 S Ste 103Heber City, UT 84032-3940Phone: (435) 655-6600Fax: (435) 655-2388
Registry dates
- Enumerated
- 2025-07-18
- Last updated
- 2026-03-04
- Certified
- 2026-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.