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KYLE ALLAN VANCE
NPI 1003469867
Physician Assistant in South Jordan, UT

Active since July 22, 2019PECOS Enrolled
10433 S REDWOOD RD STE B, SOUTH JORDAN, UT 84095(801) 260-1919 Get Directions Write a Review

NPPES record last updated: July 22, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kyle Allan Vance NPPES

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

KYLE ALLAN VANCE (NPI 1003469867) is an individual physician assistant in South Jordan, Utah, licensed in Utah (11353630-1206) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003469867
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKYLE ALLAN VANCE
Location Address10433 S REDWOOD RD STE BSouth Jordan, UT 84095-8502
Mailing AddressPo Box 95590South Jordan, UT 84095-0590 · (801) 352-9500 · Fax (801) 352-7976
Phone(801) 260-1919
Sole ProprietorNo
Enumeration DateJuly 22, 2019
✔ NPI 1003469867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in UT · 11353630-1206
Definition
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.
10433 S REDWOOD RD STE B, South Jordan, UT 84095
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Other Identifiers 1

Other11353630-1206UT · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Imperial Health Plan of the Southwest, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kyle Allan Vance is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84095 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
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
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

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

CYNTHIA ANN WHITING NP
Nurse Practitioner (Family)
10433 S REDWOOD RD STE B
SOUTH JORDAN, UT 84095
Salt Lake County (801) 501-0500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kyle Vance's NPI number?

The NPI number for Kyle Vance is 1003469867. It was assigned to this individual provider in the NPPES registry on July 22, 2019.

Where is Kyle Vance located?

Kyle Vance practices at 10433 S Redwood Rd Ste B, South Jordan, UT 84095. The listed phone number is (801) 260-1919.

What is Kyle Vance's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kyle Vance enrolled in Medicare?

Yes. Kyle Vance is registered in the Medicare PECOS enrollment system.

What insurance does Kyle Vance accept?

Health plans from Imperial Health Plan of the Southwest, Inc. list Kyle Vance as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kyle Vance was last updated on July 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.