JUSTIN ALAN ILLUM
NPI 1265174452
Nurse Practitioner - Family in Midvale, UT

Q: What is Justin Illum's NPI number?

The NPI number for Justin Illum is 1265174452. It was assigned to this individual provider in the NPPES registry on April 8, 2022.

Q: What is Justin Illum'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 Justin Illum was last updated on December 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since April 08, 2022PECOS EnrolledAccepts Medicare Assignment

971 E CREEKHILL LN APT 10, MIDVALE, UT 84047(417) 693-3850 Get Directions Write a Review

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

Record update history: Dec 8, 2024, Aug 12, 2023, Apr 8, 2022 (3 updates tracked since 2022).

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About Justin Alan Illum NPPES

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

JUSTIN ALAN ILLUM (NPI 1265174452) is an individual family provider in Midvale, Utah, licensed in Utah (10386297-4405) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1265174452

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameJUSTIN ALAN ILLUM

Location Address971 E CREEKHILL LN APT 10Midvale, UT 84047-2365

Mailing Address971 E Creekhill Ln Apt 10Midvale, UT 84047-2365 · (417) 693-3850

Phone(417) 693-3850

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateApril 8, 2022

Last NPPES UpdateDecember 8, 20243 updates tracked since enumeration

NPPES CertifiedDecember 8, 2024

✔ NPI 1265174452 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 · 10386297-4405

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

971 E CREEKHILL LN APT 10, Midvale, UT 84047

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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

Justin Alan Illum 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 ID4385094911

PECOS Enrollment IDI20231222001593

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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

69 services33 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

24 services21 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

24 services20 patients

Hospital Affiliations CMS Care Compare

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

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT

5/5 CMS rating

OwnershipGovernment - State

CMS Certification Number460009

Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84047 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.

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 Justin Illum's NPI number?

The NPI number for Justin Illum is 1265174452. It was assigned to this individual provider in the NPPES registry on April 8, 2022.

Where is Justin Illum located?

Justin Illum practices at 971 E Creekhill Ln Apt 10, Midvale, UT 84047. The listed phone number is (417) 693-3850.

What is Justin Illum's specialty?

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

Is Justin Illum enrolled in Medicare?

Yes. Justin Illum 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.

Is Justin Illum affiliated with any hospitals?

According to CMS data, Justin Illum is affiliated with University Of Utah Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Justin Illum was last updated on December 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.