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KAYLENE ELDER FNP-C
NPI 1265821276
Nurse Practitioner - Family in Provo, UT

Active since January 14, 2015PECOS EnrolledAccepts Medicare Assignment
320 RIVER PARK DR STE 255, PROVO, UT 84604(385) 203-0246(385) 203-0245 Get Directions Write a Review

NPPES record last updated: May 6, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 6, 2020, Jan 9, 2020, Dec 2, 2019 and 1 more (4 updates tracked since 2018).

About Kaylene Elder Fnp-c NPPES

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

KAYLENE ELDER FNP-C (NPI 1265821276) is an individual family provider in Provo, Utah, licensed in Utah (11361127-4405) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS, is affiliated with Ascension St John Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1265821276
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKAYLENE ELDERCredential: FNP-C
Location Address320 RIVER PARK DR STE 255Provo, UT 84604-6065
Mailing Address652 S Medical Center Dr Ste 110St George, UT 84790-7077 · (435) 215-0230 · Fax (435) 986-7092
Phone(385) 203-0246
Fax(385) 203-0245
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJanuary 14, 2015
Last NPPES UpdateMay 6, 20204 updates tracked since enumeration
NPPES CertifiedMay 6, 2020
✔ NPI 1265821276 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 · 11361127-4405
320 RIVER PARK DR STE 255, Provo, UT 84604
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 Oklahoma, Blue Cross and Blue Shield of Texas, Molina Healthcare 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

Kaylene Elder Fnp-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 ID6800115353
PECOS Enrollment IDI20150505000290, I20191210000282, I20251203000829, I20260113001918
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

7

Medicare enrollment records show Kaylene Elder reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Utah Regional Hospitalists LLC
29 mi
Hospitalist
5505 S 900 E STE 240
Murray, UT 84117
  • Reassigned Medicare billing, Utah enrollment
  • 271 clinicians in this Medicare group
NPI 1962821223 (844) 474-4019
Santibanez Pac Utah
31 mi
Geriatric Medicine
451 E BISHOP FEDERAL LN
Salt Lake City, UT 84115
  • Reassigned Medicare billing, Utah enrollment
  • 55 clinicians in this Medicare group
NPI 1881469484 (801) 487-7557
Usacs Observation Medicine Services Of Oklahoma, LLC
904 mi
Emergency Medicine
6161 S YALE AVE
Tulsa, OK 74136
  • Reassigned Medicare billing, Oklahoma enrollment
  • 300 clinicians in this Medicare group
NPI 1326739111 (844) 474-4019
Usacs Integrated Acute Care Services Of Texas, PLLC
1,030 mi
Internal Medicine
1401 MEDICAL PKWY
Cedar Park, TX 78613
  • Reassigned Medicare billing, Texas enrollment
  • 828 clinicians in this Medicare group
NPI 1801300322 (330) 493-4443
Lone Star Integrated Acute Care Of East Texas PLLC
1,123 mi
Internal Medicine
1204 N MOUND ST
Nacogdoches, TX 75961
  • Reassigned Medicare billing, Texas enrollment
  • 41 clinicians in this Medicare group
NPI 1669306890 (936) 564-4611
Emergency Medicine Associates P.A., P.C.
1,795 mi
Internal Medicine
501 SUNSET LN
Culpeper, VA 22701
  • Reassigned Medicare billing, Virginia enrollment
  • 1,294 clinicians in this Medicare group
NPI 1881559102 (540) 829-4100
Post Acute Medical PLLC
1,846 mi
Geriatric Medicine
6710 MALLERY DR
Lanham, MD 20706
  • Reassigned Medicare billing, Utah enrollment
  • 49 clinicians in this Medicare group
NPI 1730713025 (888) 408-7008

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 8

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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
757 services43 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
679 services141 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
270 services65 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
123 services113 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
68 services27 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.
64 services62 patients

Hospital Affiliations CMS Care Compare 5

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

Ascension St John Medical Center

Acute Care Hospitals · Tulsa, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370114
Location1923 South Utica AvenueTulsa, OK 74104 · Tulsa County
Emergency services Birthing friendly

Ascension St John Broken Arrow

Acute Care Hospitals · Broken Arrow, OK
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370235
Location1000 West Boise CircleBroken Arrow, OK 74012 · Tulsa County
Emergency services

Baptist Medical Center

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450058
Location111 Dallas StreetSan Antonio, TX 78205 · Bexar County
Emergency services Birthing friendly

Holy Cross Hospital-Jordan Valley

Acute Care Hospitals · West Jordan, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460051
Location3580 West 9000 SouthWest Jordan, UT 84088 · Salt Lake County
Emergency services Birthing friendly

Sentara Martha Jefferson Hospital

Acute Care Hospitals · Charlottesville, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490077
Location500 Martha Jefferson DriveCharlottesville, VA 22911 · Albemarle County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84604 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 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA LEE ANDERSON RN
Nurse Practitioner (Psychiatric/Mental Health)
320 RIVER PARK DR STE 255
PROVO, UT 84604
Utah County (801) 616-3675
NEURAL EFFECTS
Nurse Practitioner
320 RIVER PARK DR STE 255
PROVO, UT 84604
Utah County (801) 616-3675
ELIZABETH HUNTSMAN FNP-C
Nurse Practitioner
320 RIVER PARK DR STE 255
PROVO, UT 84604
Utah County (801) 999-0147

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 Kaylene Elder's NPI number?

The NPI number for Kaylene Elder is 1265821276. It was assigned to this individual provider in the NPPES registry on January 14, 2015.

Where is Kaylene Elder located?

Kaylene Elder practices at 320 River Park Dr Ste 255, Provo, UT 84604. The listed phone number is (385) 203-0246.

What is Kaylene Elder's specialty?

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

Is Kaylene Elder enrolled in Medicare?

Yes. Kaylene Elder 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 Kaylene Elder's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kaylene Elder reassigns Medicare benefits to 7 organizations: Utah Regional Hospitalists LLC (Murray, UT), Santibanez Pac Utah (Salt Lake City, UT), Usacs Observation Medicine Services Of Oklahoma, LLC (Tulsa, OK), Usacs Integrated Acute Care Services Of Texas, PLLC (Cedar Park, TX), Lone Star Integrated Acute Care Of East Texas PLLC (Nacogdoches, TX) and 2 more organizations, listed in the Medicare section above. 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 Kaylene Elder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kaylene Elder accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Molina Healthcare, Select Health and Sendero Health Plans, Local Nonprofit list Kaylene Elder 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 Kaylene Elder affiliated with any hospitals?

According to CMS data, Kaylene Elder is affiliated with Ascension St John Medical Center, Ascension St John Broken Arrow, Baptist Medical Center, Holy Cross Hospital-Jordan Valley and Sentara Martha Jefferson Hospital.

When was this NPI record last updated?

The NPPES record for Kaylene Elder was last updated on May 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.