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LISA A BARKDULL F.N.P.
NPI 1114920402
Nurse Practitioner - Family in Salt Lake City, UT

Active since May 31, 2005PECOS Enrolled
450 S 900 E STE 175, SALT LAKE CITY, UT 84102(801) 456-2333(801) 456-2330 Get Directions Write a Review

NPPES record last updated: June 1, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 1, 2021, Nov 30, 2015 (2 updates tracked since 2015).

About Lisa A Barkdull F.n.p. NPPES

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

LISA A BARKDULL F.N.P. (NPI 1114920402) is an individual family provider in Salt Lake City, Utah, licensed in Utah (8721544-4405) and active in the NPI registry since May 2005. She is enrolled in Medicare PECOS and maintains a secondary practice location in Pleasant Grove.

NPPES Registry Identity

NPI1114920402
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLISA A BARKDULLCredential: F.N.P.
Location Address450 S 900 E STE 175Salt Lake City, UT 84102-2981
Mailing Address275w 200 N 7Kaysville, UT 84037-1873 · (801) 546-1300
Phone(801) 456-2333
Fax(801) 456-2330
Sole ProprietorYes
Enumeration DateMay 31, 2005
Last NPPES UpdateJune 1, 20212 updates tracked since enumeration
NPPES CertifiedJune 1, 2021
✔ NPI 1114920402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in UT · 8721544-4405✔ Licensed in VA · 0024166259
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 0389765-22 (WV)
450 S 900 E STE 175, Salt Lake City, UT 84102
Open in Google Maps ↗

Secondary Practice Location 1

Location 11481 Renaissance PlPleasant Grove, UT 84062-9502 · Phone (703) 678-9863

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa A Barkdull F.n.p. 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 Reassignment

Medicare enrollment records show Lisa Barkdull reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Performing, Endurance, And Artistic Athlete Clinic, PLLC
5.6 mi
Sports Medicine
2870 E 3300 S
Millcreek, UT 84109
  • Reassigned Medicare billing, Utah enrollment
  • 2 clinicians in this Medicare group
NPI 1043919889 (385) 500-3300

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.

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
24 services12 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 3

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

TERRA BOWDEN MSN, FNP
Family Medicine
450 S 900 E STE 175
SALT LAKE CITY, UT 84102
Salt Lake County (801) 698-2098
WHITNEY JORGENSEN LCSW
Social Worker (Clinical)
450 S 900 E STE 175
SALT LAKE CITY, UT 84102
Salt Lake County (801) 456-2333
DR. BRITTANY LEE BOUCHARD DNP, FNP-C
Nurse Practitioner (Family)
450 S 900 E STE 175
SLC, UT 84102
Salt Lake County (801) 456-2333

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 Lisa Barkdull's NPI number?

The NPI number for Lisa Barkdull is 1114920402. It was assigned to this individual provider in the NPPES registry on May 31, 2005.

Where is Lisa Barkdull located?

Lisa Barkdull practices at 450 S 900 E Ste 175, Salt Lake City, UT 84102. The listed phone number is (801) 456-2333.

What is Lisa Barkdull's specialty?

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

Is Lisa Barkdull enrolled in Medicare?

Yes. Lisa Barkdull is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lisa Barkdull's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Barkdull reassigns Medicare benefits to The Performing, Endurance, And Artistic Athlete Clinic, PLLC (Millcreek, UT). The 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 Lisa Barkdull's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Barkdull accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Utah list Lisa Barkdull as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lisa Barkdull was last updated on June 1, 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.