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KRYSTLE DAWN LOWRANCE NP-C
NPI 1255927612
Nurse Practitioner - Family in Tooele, UT

Active since December 18, 2020PECOS EnrolledAccepts Medicare Assignment
95.7/100
CMS Quality Rating
196 E 2000 N STE 110, TOOELE, UT 84074(435) 843-3677 Get Directions Write a Review

NPPES record last updated: March 9, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 9, 2022, Mar 6, 2022, Feb 10, 2022 and 4 more (7 updates tracked since 2020).

About Krystle Dawn Lowrance Np-c NPPES

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

KRYSTLE DAWN LOWRANCE NP-C (NPI 1255927612) is an individual family provider in Tooele, Utah, licensed in Utah (10399744-4405) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS, is affiliated with St Vincent Healthcare, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1255927612
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKRYSTLE DAWN LOWRANCECredential: NP-C
Location Address196 E 2000 N STE 110Tooele, UT 84074-9335
Mailing Address654 W 770 NTooele, UT 84074-3730
Phone(435) 843-3677
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 18, 2020
Last NPPES UpdateMarch 9, 20227 updates tracked since enumeration
NPPES CertifiedMarch 9, 2022
✔ NPI 1255927612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in UT · 10399744-4405
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 103997444405 (UT)
196 E 2000 N STE 110, Tooele, UT 84074
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and more.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

Krystle Dawn Lowrance Np-c 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 ID8426442211
PECOS Enrollment IDI20231017003063
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

5

Medicare enrollment records show Krystle Lowrance reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Utah Community Physicians Group
5.6 mi
Family Medicine
220 MILLPOND STE 100
Stansbury Pk, UT 84074
  • Reassigned Medicare billing, Utah enrollment
  • 295 clinicians in this Medicare group
NPI 1497159107 (435) 843-3000
Care United Medical Center Of Laramie, LLC
357 mi
Multi-Specialty
3810 E GRAND AVE
Laramie, WY 82070
  • Reassigned Medicare billing, Wyoming enrollment
  • 31 clinicians in this Medicare group
NPI 1063720605 (307) 721-1794
Peak Health & Wellness, LLC
364 mi
Urgent Care
403 W MAIN ST
Belgrade, MT 59714
  • Reassigned Medicare billing, Montana enrollment
  • 35 clinicians in this Medicare group
NPI 1073669461 (406) 388-8708
Scl Health Medical Group - Billings LLC
371 mi
Rural Health
55 N MONTANA AVE
Absarokee, MT 59001
  • Reassigned Medicare billing, Montana enrollment
  • 438 clinicians in this Medicare group
NPI 1649883539 (406) 328-4497
Physicians Immediate Care & Medical Centers, P.S.
528 mi
Family Medicine
1215 GEORGE WASHINGTON WAY
Richland, WA 99352
  • Reassigned Medicare billing, Washington enrollment
  • Medicare enrollment name: Physicians Immediate Care & Medical Centers Ps
  • 35 clinicians in this Medicare group
NPI 1821002510 (509) 946-7646

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 6

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
81 services81 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.
31 services31 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.
23 services22 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
21 services21 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
13 services13 patients
Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected 0241U
This test detects the RNA of respiratory viruses, including COVID-19, Influenza A, Influenza B, and Respiratory Syncytial Virus, in an upper respiratory specimen. The test result will report if each virus is detected or not, helping in accurate diagnosis.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

St Vincent Healthcare

Acute Care Hospitals · Billings, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number270049
Location1233 N 30th StBillings, MT 59101 · Yellowstone County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84074 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.

95.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.19
Promoting Interoperability100
Improvement Activities40

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 Krystle Lowrance's NPI number?

The NPI number for Krystle Lowrance is 1255927612. It was assigned to this individual provider in the NPPES registry on December 18, 2020.

Where is Krystle Lowrance located?

Krystle Lowrance practices at 196 E 2000 N Ste 110, Tooele, UT 84074. The listed phone number is (435) 843-3677.

What is Krystle Lowrance's specialty?

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

Is Krystle Lowrance enrolled in Medicare?

Yes. Krystle Lowrance 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 Krystle Lowrance's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Krystle Lowrance reassigns Medicare benefits to 5 organizations: University Of Utah Community Physicians Group (Stansbury Pk, UT), Care United Medical Center Of Laramie, LLC (Laramie, WY), Peak Health & Wellness, LLC (Belgrade, MT), Scl Health Medical Group - Billings LLC (Absarokee, MT) and Physicians Immediate Care & Medical Centers, P.S. (Richland, WA). 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 Krystle Lowrance's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Krystle Lowrance accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and Providence Health Plan list Krystle Lowrance 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 Krystle Lowrance affiliated with any hospitals?

According to CMS data, Krystle Lowrance is affiliated with St Vincent Healthcare.

When was this NPI record last updated?

The NPPES record for Krystle Lowrance was last updated on March 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.