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CAROLINE CHAU QUACH
NPI 1356922405
Nurse Practitioner in South Salt Lake, UT

Active since April 20, 2021PECOS EnrolledAccepts Medicare Assignment
3702 S STATE ST STE 107, SOUTH SALT LAKE, UT 84115(801) 288-2634(801) 288-1186 Get Directions Write a Review

NPPES record last updated: May 6, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 6, 2024, Apr 20, 2021 (2 updates tracked since 2021).

About Caroline Chau Quach NPPES

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

CAROLINE CHAU QUACH (NPI 1356922405) is an individual nurse practitioner in South Salt Lake, Utah, licensed in Utah (8503905-4405) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Intermountain Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1356922405
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCAROLINE CHAU QUACH
Location Address3702 S STATE ST STE 107South Salt Lake, UT 84115-5096
Mailing Address3702 S State St Ste 107South Salt Lake, UT 84115-5096 · (801) 288-2634 · Fax (801) 288-1186
Phone(801) 288-2634
Fax(801) 288-1186
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateApril 20, 2021
Last NPPES UpdateMay 6, 20242 updates tracked since enumeration
NPPES CertifiedMay 6, 2024
✔ NPI 1356922405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in UT · 8503905-4405
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3702 S STATE ST STE 107, South Salt Lake, UT 84115
Open in Google Maps ↗

Other Identifiers 1

Medicaid1356922405UT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah 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

Caroline Chau Quach 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 ID1951757251
PECOS Enrollment IDI20231023002608
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 Reassignment

Medicare enrollment records show Caroline Chau Quach reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nephrology Associates Of Utah LLC
Same address
Nephrology
3702 S STATE ST STE 107
Salt Lake City, UT 84115
  • Reassigned Medicare billing, Utah enrollment
  • 32 clinicians in this Medicare group
NPI 1750473948 (801) 288-2634

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

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.

Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
15 services12 patients

Hospital Affiliations CMS Care Compare

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

Intermountain Medical Center

Acute Care Hospitals · Murray, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460010
Location5121 South Cottonwood StreetMurray, UT 84107 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84115 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 20

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

KEVIN L JANSEN M.D.
Internal Medicine (Nephrology)
3702 S STATE ST STE 107
SOUTH SALT LAKE, UT 84115
Salt Lake County (801) 288-2634
JENNIFER MICHELLE SORTO NP
Nurse Practitioner
3702 S STATE ST STE 107
SOUTH SALT LAKE, UT 84115
Salt Lake County (801) 288-2634
DR. DAVE TIEN M.D.
Internal Medicine (Nephrology)
3702 S STATE ST STE 107
SOUTH SALT LAKE, UT 84115
Salt Lake County (801) 288-2634
JENNIFER NICOLE TWOHIG DNP
Nurse Practitioner
3702 S STATE ST STE 107
SOUTH SALT LAKE, UT 84115
Salt Lake County (801) 288-2634
ZUBAIR BARBACENA SAEED ZAFAR MD
Internal Medicine (Nephrology)
3702 S STATE ST STE 107
SOUTH SALT LAKE, UT 84115
Salt Lake County (801) 288-2634
ZHAN WANG
Nurse Practitioner
3702 S STATE ST STE 107
SOUTH SALT LAKE, UT 84115
Salt Lake County (801) 288-2634
CLAUDIA-DENISE HAIVAS M.D.
Internal Medicine (Nephrology)
3702 S STATE ST STE 107
SALT LAKE CITY, UT 84115
Salt Lake County (801) 288-2634
DONALD ROBERT MORRIS M.D.
Internal Medicine (Nephrology)
3702 S STATE ST STE 107
SOUTH SALT LAKE, UT 84115
Salt Lake County (801) 288-2634

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 Caroline Chau Quach's NPI number?

The NPI number for Caroline Chau Quach is 1356922405. It was assigned to this individual provider in the NPPES registry on April 20, 2021.

Where is Caroline Chau Quach located?

Caroline Chau Quach practices at 3702 S State St Ste 107, South Salt Lake, UT 84115. The listed phone number is (801) 288-2634.

What is Caroline Chau Quach's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Caroline Chau Quach enrolled in Medicare?

Yes. Caroline Chau Quach 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 organization bills Medicare for Caroline Chau Quach's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Caroline Chau Quach reassigns Medicare benefits to Nephrology Associates Of Utah LLC (Salt Lake City, UT). The 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 Caroline Chau Quach's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Caroline Chau Quach accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Caroline Chau Quach 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 Caroline Chau Quach affiliated with any hospitals?

According to CMS data, Caroline Chau Quach is affiliated with Intermountain Medical Center.

When was this NPI record last updated?

The NPPES record for Caroline Chau Quach was last updated on May 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.