ELIZABETH MARIA DURHAM NURSE PRACTITIONER
NPI 1104580356
Nurse Practitioner - Family in Salt Lake City, UT

Q: What is Elizabeth Durham's NPI number?

The NPI number for Elizabeth Durham is 1104580356. It was assigned to this individual provider in the NPPES registry on October 25, 2021.

Q: What is Elizabeth Durham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Elizabeth Durham was last updated on June 15, 2022. 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 25, 2021PECOS Enrolled

324 E 10TH AVE STE 100, SALT LAKE CITY, UT 84103(801) 408-7500 Get Directions Write a Review

NPPES record last updated: June 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Elizabeth Maria Durham Nurse Practitioner NPPES

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

ELIZABETH MARIA DURHAM NURSE PRACTITIONER (NPI 1104580356) is an individual family provider in Salt Lake City, Utah, licensed in Utah (7081449-4405) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Sandy.

NPPES Registry Identity

NPI1104580356

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameELIZABETH MARIA DURHAMCredential: NURSE PRACTITIONER

Location Address324 E 10TH AVE STE 100Salt Lake City, UT 84103-2870

Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128 · (801) 408-7500

Phone(801) 408-7500

Sole ProprietorYes

Enumeration DateOctober 25, 2021

Last NPPES UpdateJune 15, 2022

NPPES CertifiedJune 15, 2022

✔ NPI 1104580356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in UT · 7081449-4405

324 E 10TH AVE STE 100, Salt Lake City, UT 84103

Open in Google Maps ↗

Secondary Practice Location 1

Location 125 Rollingwood LnSandy, UT 84092-4803 · Phone (802) 302-9171

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth Maria Durham Nurse Practitioner 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 84103 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 19

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

MADELINE M. FOLEY MD

Internal Medicine