SOPHIA ELAINE PEREZ FNP
NPI 1205613056
Nurse Practitioner - Family in Kanab, UT

Q: What is Sophia Perez's NPI number?

The NPI number for Sophia Perez is 1205613056. It was assigned to this individual provider in the NPPES registry on September 13, 2023.

Q: What is Sophia Perez'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 Sophia Perez was last updated on October 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 September 13, 2023PECOS EnrolledAccepts Medicare Assignment

355 N MAIN ST, KANAB, UT 84741(435) 644-4100 Get Directions Write a Review

NPPES record last updated: October 12, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Sophia Elaine Perez Fnp NPPES

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

SOPHIA ELAINE PEREZ FNP (NPI 1205613056) is an individual family provider in Kanab, Utah, licensed in Utah (10712354-4405) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1205613056

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSOPHIA ELAINE PEREZCredential: FNP

Location Address355 N MAIN STKanab, UT 84741-3260

Mailing Address1055 N 500 W, Attn CredentialingProvo, UT 84604-3305 · (801) 354-8225 · Fax (801) 418-0941

Phone(435) 644-4100

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateSeptember 13, 2023

Last NPPES UpdateOctober 12, 2023

NPPES CertifiedOctober 12, 2023

✔ NPI 1205613056 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 · 10712354-4405

355 N MAIN ST, Kanab, UT 84741

Open in Google Maps ↗

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

Sophia Elaine Perez 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 ID4486000742

PECOS Enrollment IDI20250805004019

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 Reassignments

Medicare enrollment records show Sophia Perez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kane County Human Resource Special Service District

Same address

Family Medicine

355 N MAIN ST
Kanab, UT 84741

Reassigned Medicare billing, Utah enrollment
37 clinicians in this Medicare group

NPI 1215001037 (435) 644-4100

Revere Health PC

230 mi

Multi-Specialty

1055 N 500 W
Provo, UT 84604

Reassigned Medicare billing, Utah enrollment
414 clinicians in this Medicare group

NPI 1093764805 (801) 429-8000

Baltimore Medical Systems, Inc.

1,952 mi

Federally Qualified Health Center (FQHC)

5525 EASTERN AVE
Baltimore, MD 21224

Reassigned Medicare billing, Maryland enrollment
Medicare enrollment name: Baltimore Medical System, Inc.
243 clinicians in this Medicare group

NPI 1164138152 (410) 558-4084

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 12

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

398 services277 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

244 services179 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

96 services96 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

65 services56 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

47 services45 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

35 services35 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

27 services27 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

27 services27 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

23 services23 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

23 services23 patients

Removal of impacted ear wax 69210

Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.

16 services13 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84741 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.

KANE COUNTY HUMAN RESOURCE SPECIAL SERVICE DISTRICT

General Acute Care Hospital

355 N MAIN ST
KANAB, UT 84741

Kane County (435) 644-5811

AMV MOUNTAIN LAND LC

Physical Therapist

355 N MAIN ST
KANAB, UT 84741

Kane County (435) 644-4199

MS. SARAH BETH SHORT LMSW, CSW

Social Worker

355 N MAIN ST
KANAB, UT 84741

Kane County (435) 644-5811

WAYNE S NIELSON PA

Physician Assistant

355 N MAIN ST
KANAB, UT 84741

Kane County (435) 644-4179

CERRA CYRUS DPT

Physical Therapist

355 N MAIN ST
KANAB, UT 84741

Kane County (435) 644-4199

CHRISTA J WERLINGER FNP

Nurse Practitioner (Family)

355 N MAIN ST
KANAB, UT 84741

Kane County (435) 644-4100

KANE COUNTY HUMAN RESOURCE SPECIAL SERVICE DISTRICT

Internal Medicine (Cardiovascular Disease)

355 N MAIN ST
KANAB, UT 84741

Kane County (435) 644-5811

KANE COUNTY HUMAN RESOURCE SPECIAL SERVICE DISTRICT

Family Medicine

355 N MAIN ST
KANAB, UT 84741

Kane County (435) 644-4100

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 Sophia Perez's NPI number?

The NPI number for Sophia Perez is 1205613056. It was assigned to this individual provider in the NPPES registry on September 13, 2023.

Where is Sophia Perez located?

Sophia Perez practices at 355 N Main St, Kanab, UT 84741. The listed phone number is (435) 644-4100.

What is Sophia Perez's specialty?

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

Is Sophia Perez enrolled in Medicare?

Yes. Sophia Perez 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 organizations bill Medicare for Sophia Perez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sophia Perez reassigns Medicare benefits to 3 organizations: Kane County Human Resource Special Service District (Kanab, UT), Revere Health PC (Provo, UT) and Baltimore Medical Systems, Inc. (Baltimore, MD). Each 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 Sophia Perez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sophia Perez was last updated on October 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.