Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1134828965 Individual Practitioner Female Practitioner

Elizabeth J Avery , PA

Physician Assistant • Provo, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Elizabeth Avery, PA is a certified Physician Assistant practicing in Provo, UT. With approximately 1 years of clinical experience since completing medical education in 2025, Elizabeth Avery delivers high-quality medical care to the local community at 1055 N 500 W.

Elizabeth Avery is affiliated with Revere Health Pc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1055 N 500 W
Ste 205, Building C

Provo, UT 846043305

Telephone 8014298095
Fax 8013548265
Associated Practice Facility / Clinic
🏢 No Roll Up Timpanogos Llc Facility NPI 1831153840

Medicare Profile & Education

Medical School

Other

Graduation Year

2025

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Provo, UT

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
1 Yrs -9.1 yrs vs City Avg
City Avg: 10.1 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
147 Specialists

Practicing in Provo, UT (1904 Statewide)

Telehealth Adoption Rate
19.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Avery (1 Years) 1 Yrs
Provo Specialty Average (10.1 Years) 10.1 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-09-17
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License UT 14240564-1206

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Revere Health Pc

1055 N 500, Provo, UT 846043305

Phone: 8014298095

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Rosanne Oliver , FNP

Nurse Practitioner - Family

NPI 1073903720

Family Nurse Practitioner

Dr. Steven Bigler , MD

Obstetrics & Gynecology - Gynecology

NPI 1205894649

Doctor of Medicine (M.D.)

Dr. Mohammed Nizam , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1326203514

Doctor of Medicine (M.D.)

Elizabeth Mahoney , PA

Physician Assistant

NPI 1417610890

Physician Assistant

Dr. Malgorzata Hanczyc , MD

Internal Medicine - Rheumatology

NPI 1467765735

Doctor of Medicine (M.D.)

NPI 1770124687

Master of Science in Nursing, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location September 17, 2025

Registered at 1055 N 500 W, STE 205, BUILDING C, PROVO, UT 846043305 (Tel: 8014298095)

📍
Updated Business Mailing Address September 17, 2025

Registered at 1055 N 500 W, ATT: CREDENTIALING, PROVO, UT 846043305 (Tel: 8013548226)

👤
Provider Name / Credentials Updated September 17, 2025

Recorded as ELIZABETH AVERY, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 17, 2025

Physician Assistant (License #14240564-1206 in UT)

NPI Profile Active March 01, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location March 01, 2023

Registered at 1188 N 100 W, OREM, UT 840573113 (Tel: 8018228474)

📍
Updated Business Mailing Address March 01, 2023

Registered at 1188 N 100 W, OREM, UT 840573113 (Tel: 8018228474)

👤
Provider Name / Credentials Updated March 01, 2023

Recorded as ELIZABETH AVERY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 01, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 01, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1134828965
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 01, 2023
Last Update: September 17, 2025
Sole Proprietor: Yes

Mailing Address

1055 N 500 W, Att: Credentialing

Provo, UT 846043305

Phone: 8013548226

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.