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ELISA AMADOR
NPI 1023620168
Nurse Practitioner in Herriman, UT

Active since August 19, 2020PECOS EnrolledAccepts Medicare Assignment
12428 S MOSSBERG DR, HERRIMAN, UT 84096(801) 493-5945 Get Directions Write a Review

NPPES record last updated: January 28, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 28, 2023, Aug 19, 2020 (2 updates tracked since 2020).

About Elisa Amador NPPES

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

ELISA AMADOR (NPI 1023620168) is an individual nurse practitioner in Herriman, Utah, licensed in Utah (9806346-4405) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and is a graduate of University Of Arizona College Of Medicine (2023).

NPPES Registry Identity

NPI1023620168
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameELISA AMADOR
Location Address12428 S MOSSBERG DRHerriman, UT 84096-7784
Mailing Address12428 S Mossberg DrHerriman, UT 84096-7784 · (801) 493-5945
Phone(801) 493-5945
Sole ProprietorYes
Medical School CMSUniversity Of Arizona College Of MedicineGraduated 2023
Enumeration DateAugust 19, 2020
Last NPPES UpdateJanuary 28, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2025
✔ NPI 1023620168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in UT · 9806346-4405
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedClinical Nurse Specialist · Women's HealthTaxonomy 364SW0102X · License 9806346-3102 (UT)
12428 S MOSSBERG DR, Herriman, UT 84096
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah 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

Elisa Amador 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 ID7113448408
PECOS Enrollment IDI20250303002321
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 84096 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.

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 Elisa Amador's NPI number?

The NPI number for Elisa Amador is 1023620168. It was assigned to this individual provider in the NPPES registry on August 19, 2020.

Where is Elisa Amador located?

Elisa Amador practices at 12428 S Mossberg Dr, Herriman, UT 84096. The listed phone number is (801) 493-5945.

What is Elisa Amador's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Elisa Amador enrolled in Medicare?

Yes. Elisa Amador is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Elisa Amador accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Elisa Amador 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 Elisa Amador was last updated on January 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.