NECIA DALLEY DNP
NPI 1124670872
Nurse Practitioner in Riverton, UT

Active since July 12, 2019PECOS EnrolledAccepts Medicare Assignment
12391 S 4000 W, RIVERTON, UT 84096(801) 302-1750(801) 302-1715 Get Directions Write a Review

NPPES record last updated: February 10, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 10, 2021, Jul 12, 2019 (2 updates tracked since 2019).

About Necia Dalley Dnp NPPES

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

NECIA DALLEY DNP (NPI 1124670872) is an individual nurse practitioner in Riverton, Utah, licensed in Utah (8010164-4405) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Draper, and is a graduate of University Of Utah School Of Medicine (2020).

NPPES Registry Identity

NPI1124670872
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameNECIA DALLEYCredential: DNP
Location Address12391 S 4000 WRiverton, UT 84096-7012
Mailing Address7181 S Campus View Dr Ste 200West Jordan, UT 84084-4312 · (801) 965-3600
Fax(801) 302-1715
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2020
Enumeration DateJuly 12, 2019
Last NPPES UpdateFebruary 10, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2021
✔ NPI 1124670872 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 · 8010164-4405
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 Nurse · Medical-SurgicalTaxonomy 163WM0705X · License 8010164-3102 (UT)
12391 S 4000 W, Riverton, UT 84096

Secondary Practice Location 1

Location 111800 S State StDraper, UT 84020 · Phone (208) 283-9978

Accepted 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

Necia Dalley Dnp 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 ID5092120378
PECOS Enrollment IDI20210218001912
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 Necia Dalley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
1900 N STATE ST
Provo, UT 84604
  • Reassigned Medicare billing, Utah enrollment
  • 10 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84096 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 20

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

Pediatrics
12391 S 4000 W
RIVERTON, UT 84096
Specialist
12391 S 4000 W, STE 208
RIVERTON, UT 84096
Dentist (General Practice)
12391 S 4000 W, SUITE 206
RIVERTON, UT 84096
Physician Assistant
12391 S 4000 W
RIVERTON, UT 84096
Nurse Practitioner (Primary Care)
12391 S 4000 W
RIVERTON, UT 84096
Nurse Practitioner (Family)
12391 S 4000 W
RIVERTON, UT 84096
Clinic/Center (Multi-Specialty)
12391 S 4000 W
RIVERTON, UT 84096
Physician Assistant (Medical)
12391 S 4000 W
RIVERTON, UT 84096

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 Necia Dalley's NPI number?

The NPI number for Necia Dalley is 1124670872. It was assigned to this individual provider in the NPPES registry on July 12, 2019.

Where is Necia Dalley located?

Necia Dalley practices at 12391 S 4000 W, Riverton, UT 84096. The listed phone number is (801) 302-1750.

What is Necia Dalley's specialty?

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

Is Necia Dalley enrolled in Medicare?

Yes. Necia Dalley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Necia Dalley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Necia Dalley reassigns Medicare benefits to Gfm Holdings (Provo, 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 Necia Dalley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Necia Dalley accept?

Health plans from BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc., Molina Healthcare, Regence BlueCross BlueShield of Utah and Select Health and 1 other insurer list Necia Dalley 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 Necia Dalley was last updated on February 10, 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.