MEKENNA ANDREE BERMINGHAM APRN
NPI 1073243531
Nurse Practitioner in Riverton, UT

Q: What is Mekenna Bermingham's NPI number?

The NPI number for Mekenna Bermingham is 1073243531. It was assigned to this individual provider in the NPPES registry on June 16, 2022.

Q: What is Mekenna Bermingham's specialty?

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

Active since June 16, 2022PECOS Enrolled

3723 W 12600 S STE 330, RIVERTON, UT 84065(801) 285-4543(801) 285-4540 Get Directions Write a Review

NPPES record last updated: May 1, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 1, 2026, Aug 29, 2023 (2 updates tracked since 2023).

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About Mekenna Andree Bermingham Aprn NPPES

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

MEKENNA ANDREE BERMINGHAM APRN (NPI 1073243531) is an individual nurse practitioner in Riverton, Utah, licensed in Utah (8497877-4405) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073243531

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMEKENNA ANDREE BERMINGHAMCredential: APRN

Location Address3723 W 12600 S STE 330Riverton, UT 84065-7309

Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128

Phone(801) 285-4543

Fax(801) 285-4540

Sole ProprietorNo

Enumeration DateJune 16, 2022

Last NPPES UpdateMay 1, 20262 updates tracked since enumeration

NPPES CertifiedMay 1, 2026

✔ NPI 1073243531 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 · 8497877-4405

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 ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License 8497877-4405 (UT)

3723 W 12600 S STE 330, Riverton, UT 84065

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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mekenna Andree Bermingham 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 84065 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 7

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

DIANNE DAVENPORT LCSW

Social Worker (Clinical)