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KIMBERLY LAN DEATLEY MD
NPI 1477040236
Psychiatry & Neurology - Psychiatry in Salt Lake City, UT

Active since April 17, 2018PECOS EnrolledAccepts Medicare Assignment
501 S CHIPETA WAY, SALT LAKE CITY, UT 84132(801) 581-4096 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 3, 2024, Sep 17, 2019, Apr 17, 2018 (3 updates tracked since 2018).

About Kimberly Lan Deatley Md NPPES

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

KIMBERLY LAN DEATLEY MD (NPI 1477040236) is an individual psychiatry provider in Salt Lake City, Utah, licensed in Utah (11415641-1205) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in West Valley City, and is a graduate of Texas A & M University System, Hsc, College Of Medicine (2018).

NPPES Registry Identity

NPI1477040236
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameKIMBERLY LAN DEATLEYCredential: MD
Location Address501 S CHIPETA WAYSalt Lake City, UT 84132-1222
Mailing Address501 S Chipeta WaySalt Lake City, UT 84132-1222 · (801) 581-4096
Phone(801) 581-4096
Sole ProprietorNo
Medical School CMSTexas A & M University System, Hsc, College Of MedicineGraduated 2018
Enumeration DateApril 17, 2018
Last NPPES UpdateOctober 3, 20243 updates tracked since enumeration
NPPES CertifiedOctober 1, 2024
✔ NPI 1477040236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in UT · 11415641-1205
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
501 S CHIPETA WAY, Salt Lake City, UT 84132
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Other Names 1

Other Name (5)Kim Lan Deatley Md

Secondary Practice Location 1

Location 13460 S 4155 WWest Valley City, UT 84120 · Phone (801) 964-3550 · Fax (801) 964-3575

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, University of Utah Health Plans.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

Kimberly Lan Deatley Md 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 ID8921431792
PECOS Enrollment IDI20241009004210
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84132 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
$166.03 typical visit price
range $54.34 – $166.03
Typical copayment $41.50 (range $13.58 – $41.50)
Most-billed visit code 99205
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
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 Kimberly Deatley's NPI number?

The NPI number for Kimberly Deatley is 1477040236. It was assigned to this individual provider in the NPPES registry on April 17, 2018. The provider is also known as Kim Lan Deatley MD.

Where is Kimberly Deatley located?

Kimberly Deatley practices at 501 S Chipeta Way, Salt Lake City, UT 84132. The listed phone number is (801) 581-4096.

What is Kimberly Deatley's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Kimberly Deatley enrolled in Medicare?

Yes. Kimberly Deatley 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 Kimberly Deatley accept?

Health plans from Molina Healthcare and University of Utah Health Plans list Kimberly Deatley 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 Kimberly Deatley was last updated on October 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.