MCKENZIE STAUFFER
NPI 1215627765
Nurse Practitioner - Family in West Valley City, UT
About Mckenzie Stauffer NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MCKENZIE STAUFFER (NPI 1215627765) is an individual family provider in West Valley City, Utah, licensed in Utah (11334486-4405) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
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
Mckenzie Stauffer 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 Mckenzie Stauffer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
West Valley City, UT 84119
- Reassigned Medicare billing, Utah enrollment
- 2 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 84119 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 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WEST VALLEY CITY, UT 84119
WEST VALLEY CITY, UT 84119
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 Mckenzie Stauffer's NPI number?
The NPI number for Mckenzie Stauffer is 1215627765. It was assigned to this individual provider in the NPPES registry on May 9, 2023.
Where is Mckenzie Stauffer located?
Mckenzie Stauffer practices at 2830 S Redwood Rd, West Valley City, UT 84119. The listed phone number is (801) 233-6100.
What is Mckenzie Stauffer's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mckenzie Stauffer enrolled in Medicare?
Yes. Mckenzie Stauffer 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 Mckenzie Stauffer's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mckenzie Stauffer reassigns Medicare benefits to Cns Professional Services (West Valley 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 Mckenzie Stauffer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mckenzie Stauffer accept?
Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Mckenzie Stauffer 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 Mckenzie Stauffer was last updated on March 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Mckenzie Stauffer · NPI 1215627765
Family physician in West Valley City, Utah. Individual provider, active in the CMS NPPES registry since May 9, 2023.
## Identity
- **NPI:** 1215627765 (Entity type: Individual)
- **Enumerated:** May 9, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 11334486-4405 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 2830 S REDWOOD RD, West Valley City, UT 84119-5625
- **Phone:** (801) 233-6100
## 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:** Cns Professional Services (NPI 1508248964, West Valley City, UT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** March 3, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1215627765) · Data from the CMS NPPES public registry.