EKAETE UDODONG APRN
NPI 1083676647
Nurse Practitioner in Pleasant Grove, UT

Q: What is Ekaete Udodong's NPI number?

The NPI number for Ekaete Udodong is 1083676647. It was assigned to this individual provider in the NPPES registry on April 6, 2006.

Q: What is Ekaete Udodong'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 Ekaete Udodong was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 April 06, 2006PECOS EnrolledAccepts Medicare Assignment

1886 W 800 N, PLEASANT GROVE, UT 84062(801) 756-5288(801) 756-7589 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 11, 2020, Nov 1, 2018, Apr 28, 2017 (3 updates tracked since 2017).

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About Ekaete Udodong Aprn NPPES

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

EKAETE UDODONG APRN (NPI 1083676647) is an individual nurse practitioner in Pleasant Grove, Utah, licensed in Utah (198596-4405) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1083676647

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameEKAETE UDODONGCredential: APRN

Location Address1886 W 800 NPleasant Grove, UT 84062-4097

Mailing Address1055 N 500 W, Attn: CredentialingProvo, UT 84604-3305 · (801) 354-8225 · Fax (801) 418-0941

Phone(801) 756-5288

Fax(801) 756-7589

Sole ProprietorNo

Medical School CMSOtherGraduated 1998

Enumeration DateApril 6, 2006

Last NPPES UpdateNovember 27, 20233 updates tracked since enumeration

NPPES CertifiedFebruary 11, 2020

✔ NPI 1083676647 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 · 198596-4405

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 ListedRegistered NurseTaxonomy 163W00000X · License 198596-4405 (UT)

1886 W 800 N, Pleasant Grove, UT 84062

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Other Identifiers 1

MedicaidD6316UT

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ekaete Udodong Aprn 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 ID5799810479

PECOS Enrollment IDI20100319000487

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

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

Ihc Health Services Inc

1.9 mi

Undersea and Hyperbaric Medicine

98 N 1100 E
American Fork, UT 84003

Reassigned Medicare billing, Utah enrollment
3,691 clinicians in this Medicare group

NPI 1437576212 (801) 492-2260

Revere Health PC

4.9 mi

Multi-Specialty

1055 N 500 W
Provo, UT 84604

Reassigned Medicare billing, Utah enrollment
414 clinicians in this Medicare group

NPI 1093764805 (801) 429-8000

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

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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

19 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84062 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 14

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

KARA VICKERS RIPPLINGER CNM

Advanced Practice Midwife