NANCY DUNCAN
NPI 1497220149
Physician Assistant in Salt Lake City, UT

Active since October 09, 2018PECOS EnrolledAccepts Medicare Assignment
92.06/100
CMS Quality Rating
375 S CHIPETA WAY, SALT LAKE CITY, UT 84108(480) 544-7862 Get Directions Write a Review

NPPES record last updated: October 21, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 21, 2021, Feb 7, 2020, Oct 9, 2018 (3 updates tracked since 2018).

About Nancy Duncan NPPES

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

NANCY DUNCAN (NPI 1497220149) is an individual physician assistant in Salt Lake City, Utah, licensed in Utah (11609282-1206) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1497220149
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNANCY DUNCAN
Location Address375 S CHIPETA WAYSalt Lake City, UT 84108-1260
Mailing Address14734 S Rising Star WayBluffdale, UT 84065-5809
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 9, 2018
Last NPPES UpdateOctober 21, 20213 updates tracked since enumeration
NPPES CertifiedOctober 21, 2021
NPI 1497220149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in UT · 11609282-1206
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
375 S CHIPETA WAY, Salt Lake City, UT 84108

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

Nancy Duncan 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 ID1951730712
PECOS Enrollment IDI20200331001627
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.

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
16 services12 patients

Hospital Affiliations CMS Care Compare

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

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84108 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
$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.

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.

92.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.57
Promoting Interoperability100
Improvement Activities40

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.

Physician Assistant
375 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Student in an Organized Health Care Education/Training Program
375 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Family Medicine
375 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Physician Assistant
375 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Family Medicine (Sports Medicine)
375 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Physician Assistant
375 S CHIPETA WAY
SALT LAKE CITY, UT 84108
General Practice
375 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Physician Assistant
375 S CHIPETA WAY
SALT LAKE CITY, UT 84108

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 Nancy Duncan's NPI number?

The NPI number for Nancy Duncan is 1497220149. It was assigned to this individual provider in the NPPES registry on October 9, 2018.

Where is Nancy Duncan located?

Nancy Duncan practices at 375 S Chipeta Way, Salt Lake City, UT 84108. The listed phone number is (480) 544-7862.

What is Nancy Duncan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nancy Duncan enrolled in Medicare?

Yes. Nancy Duncan 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 Nancy Duncan accept?

Health plans from Molina Healthcare and Select Health list Nancy Duncan 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 Nancy Duncan affiliated with any hospitals?

According to CMS data, Nancy Duncan is affiliated with University Of Utah Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Nancy Duncan was last updated on October 21, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.