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Nurse Practitioner, Primary Care

BLUE SAGE MEDICAL LLC

Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.

Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.

Public record

NPI 1487016226 · enumerated 2016-03-22 · record updated 2017-08-29. Source: CMS NPPES. A listing is not a TRICARE network approval.

NPPES record Google Maps Apple Maps OpenStreetMap

Authorized official: GINA COCCIMIGLIO NP, AGPCNP · (801) 718-7280

Addresses and phones

Practice location 6300 SAGEWOOD DR, SUITE H-532, PARK CITY, UT, 84098-7502 (801) 718-7280 Fax (888) 853-5162 Google Maps Apple Maps OpenStreetMap
Mailing address 6300 SAGEWOOD DR, SUITE H-532, PARK CITY, UT, 84098-7502 (801) 718-7280 Fax (888) 853-5162 Google Maps Apple Maps OpenStreetMap

Specialties

Nurse Practitioner, Primary Care 363LP2300X · Primary · License 123071-4405 UT

In this directory

UT Summit County Park City Nurse Practitioner, Primary Care

Locations and evidence

Practice location PARK CITY, UT, 840987502
Accepting new patientsNot reportedCMS NPPES · September 30, 2026

Plan acceptance

No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.