KIMBERLY KAE WEGGEMANN HOLDER FNP
NPI 1124674460
Nurse Practitioner - Family in Salt Lake City, UT

Active since August 13, 2019PECOS EnrolledAccepts Medicare Assignment
3018 E 3300 S, SALT LAKE CITY, UT 84109(801) 419-0705 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 8, 2024, Aug 13, 2019 (2 updates tracked since 2019).

About Kimberly Kae Weggemann Holder Fnp NPPES

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

KIMBERLY KAE WEGGEMANN HOLDER FNP (NPI 1124674460) is an individual family provider in Salt Lake City, Utah, licensed in Utah (5039306-4405) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1124674460
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIMBERLY KAE WEGGEMANN HOLDERCredential: FNP
Location Address3018 E 3300 SSalt Lake City, UT 84109-2144
Mailing Address10890 Thornmint RdSan Diego, CA 92127-2402
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 13, 2019
Last NPPES UpdateMay 8, 20242 updates tracked since enumeration
NPPES CertifiedMarch 11, 2024
NPI 1124674460 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 · 5039306-4405
3018 E 3300 S, Salt Lake City, UT 84109

Other Names 1

Professional Name (2)Kimberly Kae Weggemann Fnp

Secondary Practice Locations 2

Location 14001 S 700 E Ste 500Salt Lake City, UT 84107-2523 · Phone (855) 745-8400
Location 210890 Thornmint Rd Ste 202San Diego, CA 92127-2402 · Phone (855) 745-8400

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kimberly Kae Weggemann Holder Fnp 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 ID648604066
PECOS Enrollment IDI20200316002767
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.

Areas of Expertise CMS Part B claims 8

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 moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
140 services57 patients
Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458
This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.
119 services17 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
57 services17 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
53 services15 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
30 services28 patients
Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345
A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84109 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Breast Cancer Screening
4%25 patients1/55-star benchmark: 93%
Controlling High Blood Pressure
81%26 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
44%1,009 patients1/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%134 patients1/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
17%332 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 158 patients
0%158 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 9% · 128 patients
Patients totalRate: 23% · 137 patients
20%137 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Family)
3018 E 3300 S
SALT LAKE CITY, UT 84109
Clinic/Center
3018 E 3300 S
SALT LAKE CITY, UT 84109
Exclusive Provider Organization
3018 E 3300 S
SALT LAKE CITY, UT 84109
General Practice
3018 E 3300 S
SALT LAKE CITY, UT 84109

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 Kimberly Weggemann Holder's NPI number?

The NPI number for Kimberly Weggemann Holder is 1124674460. It was assigned to this individual provider in the NPPES registry on August 13, 2019. The provider is also known as Kimberly Kae Weggemann Fnp.

Where is Kimberly Weggemann Holder located?

Kimberly Weggemann Holder practices at 3018 E 3300 S, Salt Lake City, UT 84109. The listed phone number is (801) 419-0705.

What is Kimberly Weggemann Holder's specialty?

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

Is Kimberly Weggemann Holder enrolled in Medicare?

Yes. Kimberly Weggemann Holder 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.

What insurance does Kimberly Weggemann Holder accept?

Health plans from Molina Healthcare, Select Health and University of Utah Health Plans list Kimberly Weggemann Holder 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.

Is Kimberly Weggemann Holder affiliated with any hospitals?

According to CMS data, Kimberly Weggemann Holder is affiliated with St Luke's Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Kimberly Weggemann Holder was last updated on May 8, 2024. 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.