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

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: October 18, 2026.

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
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Emma Fong reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Salt Lake Behavioral Health, LLC
1.3 mi
Psychiatric Hospital
3802 SOUTH 700 EAST
Salt Lake City, UT 84106
  • Reassigned Medicare billing, Utah enrollment
  • 28 clinicians in this Medicare group
NPI 1295066116 (801) 264-6731
Lemi PLLC
1.4 mi
Mental Health (Including Community Mental Health Center)
1334 E INTEGRA CT
Salt Lake City, UT 84106
  • Reassigned Medicare billing, Utah enrollment
  • 2 clinicians in this Medicare group
NPI 1841912748 (801) 792-5477

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Other Providers at the Same Location NPPES 13

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

SALT LAKE BEHAVIORAL HEALTH
Psychiatric Hospital
3802 S 700 E
SALT LAKE CITY, UT 84106
Salt Lake County (801) 264-6000
ERIC STEDMAN D.O.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3802 S 700 E
SALT LAKE CITY, UT 84106
Salt Lake County (801) 264-6000
MADISON PAYSTRUP
Registered Nurse
3802 S 700 E
SALT LAKE CITY, UT 84106
Salt Lake County (801) 264-6000
SEAN ANTHONY PONCE M.D.
Family Medicine (Addiction Medicine)
3802 S 700 E
SALT LAKE CITY, UT 84106
Salt Lake County (801) 264-6004
DR. TOM COOPER DNP
Nurse Practitioner (Psychiatric/Mental Health)
3802 S 700 E
SALT LAKE CITY, UT 84106
Salt Lake County (801) 264-6000
YASMIN CASSANDRA PANTOJA LCSW
Social Worker (Clinical)
3802 S 700 E
SALT LAKE CITY, UT 84106
Salt Lake County (385) 202-6140
MRS. BOZENA BEATA MONTES AGNP, ACNP
Nurse Practitioner
3802 S 700 E
SALT LAKE CITY, UT 84106
Salt Lake County (801) 264-6000
THOMAS SEIBERT CMHC
Counselor (Mental Health)
3802 S 700 E
SALT LAKE CITY, UT 84106
Salt Lake County (801) 879-7112

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 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.

Where is Emma Fong located?

Emma Fong practices at 3802 S 700 E, Salt Lake City, UT 84106. The listed phone number is (801) 264-6000.

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.

Is Emma Fong enrolled in Medicare?

Yes. Emma Fong is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Emma Fong's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emma Fong reassigns Medicare benefits to 2 organizations: Salt Lake Behavioral Health, LLC (Salt Lake City, UT) and Lemi PLLC (Salt Lake City, UT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Emma Fong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Emma Fong accept?

Health plans from University of Utah Health Plans list Emma Fong 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 Emma Fong was last updated on October 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.