KIM MARIE MCKINNON NP
NPI 1003302548
Nurse Practitioner - Psychiatric/Mental Health in Sandy, UT

Q: What is Kim Mckinnon's NPI number?

The NPI number for Kim Mckinnon is 1003302548. It was assigned to this individual provider in the NPPES registry on July 9, 2018.

Q: What is Kim Mckinnon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Kim Mckinnon was last updated on January 13, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 09, 2018PECOS EnrolledAccepts Medicare Assignment

45 W SEGO LILY DR STE 312, SANDY, UT 84070(801) 676-9452(801) 206-9734 Get Directions Write a Review

NPPES record last updated: January 13, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 13, 2021, Jul 9, 2018 (2 updates tracked since 2018).

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About Kim Marie Mckinnon Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIM MARIE MCKINNON NP (NPI 1003302548) is an individual psychiatric/mental health provider in Sandy, Utah, licensed in Utah (294366-8900) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1003302548

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameKIM MARIE MCKINNONCredential: NP

Location Address45 W SEGO LILY DR STE 312Sandy, UT 84070-3643

Mailing Address8197 S 5140 WWest Jordan, UT 84081-2705 · (801) 895-6171

Phone(801) 676-9452

Fax(801) 206-9734

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJuly 9, 2018

Last NPPES UpdateJanuary 13, 20212 updates tracked since enumeration

NPPES CertifiedJanuary 13, 2021

✔ NPI 1003302548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in UT · 294366-8900

Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License 294366-4405 (UT)

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 294366-8900 (UT)

45 W SEGO LILY DR STE 312, Sandy, UT 84070

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kim Marie Mckinnon Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002242492

PECOS Enrollment IDI20200203001755

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

59 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84070 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.41 typical visit price

range $54.34 – $166.03

Typical copayment $21.10 (range $13.58 – $41.50)

Most-billed visit code 99203

Established Patient

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. AMY BROOKE MORGAN RN

Registered Nurse (Psychiatric/Mental Health)