1. Home
  2. Directory
  3. Utah
  4. Salt Lake City
  5. Nurse Practitioner
  6. NPI Profile

REBECCA MACKINTOSH NP
NPI 1275873903
Nurse Practitioner - Family in Salt Lake City, UT

Active since February 16, 2013PECOS Enrolled
4624 S HOLLADAY BLVD., SUITE 201, SALT LAKE CITY, UT 84117(801) 266-3113(801) 266-5633 Get Directions Write a Review

NPPES record last updated: April 21, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Rebecca Mackintosh Np NPPES

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

REBECCA MACKINTOSH NP (NPI 1275873903) is an individual family provider in Salt Lake City, Utah, licensed in Utah (5487521-4405) and active in the NPI registry since February 2013. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1275873903
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameREBECCA MACKINTOSHCredential: NP
Location Address4624 S HOLLADAY BLVD., SUITE 201Salt Lake City, UT 84117-7168
Mailing Address4624 S Holladay Blvd., Suite 201Salt Lake City, UT 84117-7168 · (801) 266-3113
Phone(801) 266-3113
Fax(801) 266-5633
Sole ProprietorNo
Enumeration DateFebruary 16, 2013
Last NPPES UpdateApril 21, 2023
NPPES CertifiedApril 21, 2023
✔ NPI 1275873903 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 · 5487521-4405
4624 S HOLLADAY BLVD., Salt Lake City, UT 84117
Open in Google Maps ↗

Secondary Practice Locations 2

Location 18 Th Ave & C StSalt Lake City, UT 84143-0001 · Phone (801) 408-3638 · Fax (801) 408-8326
Location 2965 E 700 S, Suite 105St. George, UT 84790-4084 · Phone (435) 775-2324 · Fax (435) 775-2041

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rebecca Mackintosh Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Rebecca Mackintosh reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physician Group Of Utah Inc
8.7 mi
Specialist
406 W SOUTH JORDAN PKWY, SUITE 500
South Jordan, UT 84095
  • Reassigned Medicare billing, Utah enrollment
  • 254 clinicians in this Medicare group
NPI 1477676930 (801) 984-3418
Whidbey Island Public Hospital District
702 mi
Diagnostic Radiology
1526 139TH CT NE
Bellevue, WA 98005
  • Reassigned Medicare billing, Washington enrollment
  • Also billed through NPI 1992823595 (Washington)
  • 142 clinicians in this Medicare group
NPI 1336760586 (360) 678-5151

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 84117 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 Rebecca Mackintosh's NPI number?

The NPI number for Rebecca Mackintosh is 1275873903. It was assigned to this individual provider in the NPPES registry on February 16, 2013.

Where is Rebecca Mackintosh located?

Rebecca Mackintosh practices at 4624 S Holladay Blvd. Suite 201, Salt Lake City, UT 84117. The listed phone number is (801) 266-3113.

What is Rebecca Mackintosh's specialty?

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

Is Rebecca Mackintosh enrolled in Medicare?

Yes. Rebecca Mackintosh is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Rebecca Mackintosh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rebecca Mackintosh reassigns Medicare benefits to 2 organizations: Physician Group Of Utah Inc (South Jordan, UT) and Whidbey Island Public Hospital District (Bellevue, 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 Rebecca Mackintosh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rebecca Mackintosh accept?

Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Rebecca Mackintosh 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 Rebecca Mackintosh was last updated on April 21, 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.