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

Q: 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.

Q: What is Charles Deweese's specialty?

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

Q: 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 4 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.

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: August 02, 2026.

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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, and ordering and referring status from the CMS PECOS system.

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.

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 17

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.

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 4 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.