TEGAN ELIZABETH SPANGRUDE DNP
NPI 1164152997
Nurse Practitioner - Family in Salt Lake City, UT
About Tegan Elizabeth Spangrude Dnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TEGAN ELIZABETH SPANGRUDE DNP (NPI 1164152997) is an individual family provider in Salt Lake City, Utah, licensed in Utah (9415641-4405) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, is affiliated with St Mark's Hospital, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses 2
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
Tegan Elizabeth Spangrude 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.
Medicare Billing Reassignment
Medicare enrollment records show Tegan Spangrude reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Salt Lake City, UT 84124
- Reassigned Medicare billing, Utah enrollment
- 26 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Mark's Hospital
Acute Care Hospitals · Salt Lake City, UTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84124 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SALT LAKE CITY, UT 84124
SALT LAKE CITY, UT 84124
SALT LAKE CITY, UT 84124
SALT LAKE CITY, UT 84124
SALT LAKE CITY, UT 84124
SALT LAKE CITY, UT 84124
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 Tegan Spangrude's NPI number?
The NPI number for Tegan Spangrude is 1164152997. It was assigned to this individual provider in the NPPES registry on June 14, 2022.
Where is Tegan Spangrude located?
Tegan Spangrude practices at 1250 E 3900 S Ste 260, Salt Lake City, UT 84124. The listed phone number is (801) 265-2000.
What is Tegan Spangrude's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Tegan Spangrude enrolled in Medicare?
Yes. Tegan Spangrude 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 Tegan Spangrude's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tegan Spangrude reassigns Medicare benefits to Utah Healthcare Institute Inc (Salt Lake City, 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 Tegan Spangrude's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tegan Spangrude accept?
Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Tegan Spangrude 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 Tegan Spangrude affiliated with any hospitals?
According to CMS data, Tegan Spangrude is affiliated with St Mark's Hospital.
When was this NPI record last updated?
The NPPES record for Tegan Spangrude was last updated on November 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.
# Tegan Elizabeth Spangrude, DNP · NPI 1164152997
Family physician in Salt Lake City, Utah. Individual provider, active in the CMS NPPES registry since June 14, 2022.
## Identity
- **NPI:** 1164152997 (Entity type: Individual)
- **Enumerated:** June 14, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 9415641-4405 (Utah)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1250 E 3900 S STE 260, Salt Lake City, UT 84124-1371
- **Phone:** (801) 265-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Utah Healthcare Institute Inc (NPI 1376597344, Salt Lake City, UT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** November 8, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1164152997) · Data from the CMS NPPES public registry.