EMMA FONG APRN
NPI 1003635004
Nurse Practitioner - Psychiatric/Mental Health in Salt Lake City, UT

Q: What is Emma Fong's NPI number?

The NPI number for Emma Fong is 1003635004. It was assigned to this individual provider in the NPPES registry on October 7, 2024.

Q: What is Emma Fong'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 Emma Fong was last updated on October 23, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 07, 2024PECOS Enrolled

3802 S 700 E, SALT LAKE CITY, UT 84106(801) 264-6000 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Emma Fong Aprn NPPES

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

EMMA FONG APRN (NPI 1003635004) is an individual psychiatric/mental health provider in Salt Lake City, Utah, licensed in Utah (118761824405) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003635004

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameEMMA FONGCredential: APRN

Location Address3802 S 700 ESalt Lake City, UT 84106-1182

Mailing Address971 W Tiffany Dale WayBluffdale, UT 84065-1836 · (801) 960-0620

Phone(801) 264-6000

Sole ProprietorYes

Enumeration DateOctober 7, 2024

Last NPPES UpdateOctober 23, 2024

NPPES CertifiedOctober 23, 2024

✔ NPI 1003635004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LP0808X

License✔ Licensed in UT · 118761824405

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 118761824405 (UT)

3802 S 700 E, Salt Lake City, UT 84106

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emma Fong Aprn 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 84106 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.

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