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CHARLES KIP DEWEESE APRN
NPI 1063506889
Nurse Practitioner in Salt Lake City, UT

Active since October 03, 2006PECOS Enrolled
82 S 1100 E, SUITE 204, SALT LAKE CITY, UT 84102(801) 350-4602 Get Directions Write a Review

NPPES record last updated: October 20, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Charles Kip Deweese Aprn NPPES

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

CHARLES KIP DEWEESE APRN (NPI 1063506889) is an individual nurse practitioner in Salt Lake City, Utah, licensed in Utah (206077-4405) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063506889
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameCHARLES KIP DEWEESECredential: APRN
Location Address82 S 1100 E, SUITE 204Salt Lake City, UT 84102-1686
Mailing Address82 S 1100 E, Suite 204Salt Lake City, UT 84102-1686 · (801) 350-4602
Phone(801) 350-4602
Sole ProprietorYes
Enumeration DateOctober 3, 2006
Last NPPES UpdateOctober 20, 2021
NPPES CertifiedOctober 20, 2021
✔ NPI 1063506889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in UT · 206077-4405
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.
82 S 1100 E, Salt Lake City, UT 84102
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles Kip Deweese 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 Charles Deweese reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Utah Adult Services
1.1 mi
Otolaryngology
50 N MEDICAL DR
Salt Lake City, UT 84132
  • Reassigned Medicare billing, Utah enrollment
  • 2,620 clinicians in this Medicare group
NPI 1003210808 (801) 587-6336
Physician Group Of Utah Inc
15 mi
Specialist
406 W SOUTH JORDAN PKWY, SUITE 500
South Jordan, UT 84095
  • Reassigned Medicare billing, Utah enrollment
  • 254 clinicians in this Medicare group
NPI 1477676930 (801) 984-3418

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

Areas of Expertise CMS Part B claims 7

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
284 services138 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
106 services70 patients
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.
80 services66 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
25 services22 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
24 services16 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84102 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 16

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

APOTHECARY SHOPPE, INC
Pharmacy
82 S 1100 E, SUITE 104
SALT LAKE CITY, UT 84102
Salt Lake County (801) 521-6353
DR. TERRY PAUL SMITH DPM
Podiatrist
82 S 1100 E, SUITE 300
SALT LAKE CITY, UT 84102
Salt Lake County (801) 505-5277
ANDREW D COOPER MD PC
Orthopaedic Surgery (Sports Medicine)
82 S 1100 E, SUITE 303
SALT LAKE CITY, UT 84102
Salt Lake County (801) 533-2002
RICHARD G SEEGMILLER DPM PC
Podiatrist
82 S 1100 E, STE 301
SALT LAKE CITY, UT 84102
Salt Lake County (801) 505-5277
PAUL G. LEHMITZ M.D.
Internal Medicine
82 S 1100 E, 403
SALT LAKE CITY, UT 84102
Salt Lake County (801) 505-5299
CHELSEA BROOKE CHANEY DNP, APRN, CNM
Advanced Practice Midwife
82 S 1100 E, SUITE 305
SALT LAKE CITY, UT 84102
Salt Lake County (801) 214-7650
MARK DAVID SCHOLL M.D.
Orthopaedic Surgery (Sports Medicine)
82 S 1100 E, SUITE 303
SALT LAKE CITY, UT 84102
Salt Lake County (801) 533-2002
COMPREHENSIVE ORTHOPEDIC SPECIALISTS, LLC
Specialist
82 S 1100 E, SUITE 303
SALT LAKE CITY, UT 84102
Salt Lake County (801) 533-2002

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 Charles Deweese's NPI number?

The NPI number for Charles Deweese is 1063506889. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Charles Deweese located?

Charles Deweese practices at 82 S 1100 E Suite 204, Salt Lake City, UT 84102. The listed phone number is (801) 350-4602.

What is Charles Deweese's specialty?

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

Is Charles Deweese enrolled in Medicare?

Yes. Charles Deweese is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Charles Deweese's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Deweese reassigns Medicare benefits to 2 organizations: University Of Utah Adult Services (Salt Lake City, UT) and Physician Group Of Utah Inc (South Jordan, 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 Charles Deweese's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Charles Deweese was last updated on October 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.