MRS. SHALESE MARIE KILLIAN FNP-C
NPI 1346875325
Nurse Practitioner - Family in Roosevelt, UT

Active since March 10, 2020PECOS EnrolledAccepts Medicare Assignment
99.76/100
CMS Quality Rating
250 W 300 N, ROOSEVELT, UT 84066(435) 722-4691 Get Directions Write a Review

NPPES record last updated: March 21, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 21, 2020, Mar 10, 2020 (2 updates tracked since 2020).

About Mrs. Shalese Marie Killian Fnp-c NPPES

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

MRS. SHALESE MARIE KILLIAN FNP-C (NPI 1346875325) is an individual family provider in Roosevelt, Utah, licensed in Utah (9012696-4405) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Uintah Basin Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1346875325
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. SHALESE MARIE KILLIANCredential: FNP-C
Location Address250 W 300 NRoosevelt, UT 84066-2336
Mailing AddressPo Box 1854Roosevelt, UT 84066-1854 · (435) 724-3545
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 10, 2020
Last NPPES UpdateMarch 21, 20202 updates tracked since enumeration
NPPES CertifiedMarch 21, 2020
NPI 1346875325 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 · 9012696-4405
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 9012696-3102 (UT)
250 W 300 N, Roosevelt, UT 84066

Other Names 1

Former Name (1)Shalese Marie Connary

Accepted Insurance

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

Mrs. Shalese Marie Killian 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 ID4880025527
PECOS Enrollment IDI20200512002781
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.

Hospital Affiliations CMS Care Compare

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

Uintah Basin Medical Center

Acute Care Hospitals · Roosevelt, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number460019
Location250 West 300 NorthRoosevelt, UT 84066 · Duchesne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84066 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.

99.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost99.21

Other Providers at the Same Location NPPES 20

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

Registered Nurse
250 W 300 N
ROOSEVELT, UT 84066
Physical Therapist
250 W 300 N
ROOSEVELT, UT 84066
Nurse Anesthetist, Certified Registered
250 W 300 N
ROOSEVELT, UT 84066
Surgery
250 W 300 N, UINTAH BASIN MEDICAL CENTER
ROOSEVELT, UT 84066
Occupational Therapist
250 W 300 N
ROOSEVELT, UT 84066
Pharmacist
250 W 300 N
ROOSEVELT, UT 84066
Family Medicine
250 W 300 N
ROOSEVELT, UT 84066
Occupational Therapist
250 W 300 N
ROOSEVELT, UT 84066

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 Shalese Killian's NPI number?

The NPI number for Shalese Killian is 1346875325. It was assigned to this individual provider in the NPPES registry on March 10, 2020. The provider is also known as Shalese Marie Connary.

Where is Shalese Killian located?

Shalese Killian practices at 250 W 300 N, Roosevelt, UT 84066. The listed phone number is (435) 722-4691.

What is Shalese Killian's specialty?

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

Is Shalese Killian enrolled in Medicare?

Yes. Shalese Killian 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.

What insurance does Shalese Killian accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and Select Health list Shalese Killian 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 Shalese Killian affiliated with any hospitals?

According to CMS data, Shalese Killian is affiliated with Uintah Basin Medical Center.

When was this NPI record last updated?

The NPPES record for Shalese Killian was last updated on March 21, 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.