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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DANIEL CALVILLO FNP-BC
NPI 1417743642
Nurse Practitioner - Family in Provo, UT

Active since April 15, 2025PECOS EnrolledAccepts Medicare Assignment
1924 N 1120 W, PROVO, UT 84604(385) 235-8422(801) 723-3106 Get Directions Write a Review

NPPES record last updated: July 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 10, 2026, Sep 8, 2025 (2 updates tracked since 2025).

About Daniel Calvillo Fnp-bc NPPES

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

DANIEL CALVILLO FNP-BC (NPI 1417743642) is an individual family provider in Provo, Utah, licensed in Utah (11817183-4405) and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and maintains a secondary practice location in American Fork.

NPPES Registry Identity

NPI1417743642
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDANIEL CALVILLOCredential: FNP-BC
Location Address1924 N 1120 WProvo, UT 84604-1045
Mailing Address1924 N 1120 WProvo, UT 84604-1045 · (385) 235-8422 · Fax (801) 723-3106
Phone(385) 235-8422
Fax(801) 723-3106
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateApril 15, 2025
Last NPPES UpdateJuly 10, 20262 updates tracked since enumeration
NPPES CertifiedJuly 10, 2026
✔ NPI 1417743642 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 · 11817183-4405
1924 N 1120 W, Provo, UT 84604
Open in Google Maps ↗

Secondary Practice Location 1

Location 1433 E State Rd Ste DAmerican Fork, UT 84003-4478 · Phone (801) 830-7683

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Daniel Calvillo Fnp-bc 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 ID7315453339
PECOS Enrollment IDI20250717003664
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.

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada 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.

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 Daniel Calvillo's NPI number?

The NPI number for Daniel Calvillo is 1417743642. It was assigned to this individual provider in the NPPES registry on April 15, 2025.

Where is Daniel Calvillo located?

Daniel Calvillo practices at 1924 N 1120 W, Provo, UT 84604. The listed phone number is (385) 235-8422.

What is Daniel Calvillo's specialty?

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

Is Daniel Calvillo enrolled in Medicare?

Yes. Daniel Calvillo 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 Daniel Calvillo affiliated with any hospitals?

According to CMS data, Daniel Calvillo is affiliated with St Luke's Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Daniel Calvillo was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.