KIMBERLEE A ALLRED NNP
NPI 1497774103
Nurse Practitioner - Neonatal in Murray, UT
About Kimberlee A Allred Nnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLEE A ALLRED NNP (NPI 1497774103) is an individual neonatal provider in Murray, Utah, licensed in Utah (346325-4405) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kimberlee A Allred Nnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kimberlee Allred reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Glendale, AZ 85308
- Reassigned Medicare billing, Arizona enrollment
- Medicare enrollment name: Phoenix Children's Hospital
- 1,416 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SALT LAKE CITY, UT 84107
MURRAY, UT 84107
SALT LAKE CITY, UT 84107
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 Kimberlee Allred's NPI number?
The NPI number for Kimberlee Allred is 1497774103. It was assigned to this individual provider in the NPPES registry on July 19, 2006.
Where is Kimberlee Allred located?
Kimberlee Allred practices at 5121 S Cottonwood St, Murray, UT 84107. The listed phone number is (801) 507-7508.
What is Kimberlee Allred's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.
Is Kimberlee Allred enrolled in Medicare?
Yes. Kimberlee Allred is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kimberlee Allred's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberlee Allred reassigns Medicare benefits to Phoenix Children's Medical Group (Glendale, AZ). 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 Kimberlee Allred's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kimberlee Allred was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Kimberlee A Allred, NNP · NPI 1497774103
Neonatal physician in Murray, Utah. Individual provider, active in the CMS NPPES registry since July 19, 2006.
## Identity
- **NPI:** 1497774103 (Entity type: Individual)
- **Enumerated:** July 19, 2006
- **Primary specialty:** Nurse Practitioner - Neonatal · taxonomy 363LN0000X
- **State license:** 346325-4405 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 5121 S COTTONWOOD ST, Murray, UT 84107-5701
- **Phone:** (801) 507-7508
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Phoenix Children's Medical Group (NPI 1679703441, Glendale, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 24, 2026
- **Other identifiers:** Medicaid 092702 (AZ)
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Source: [NPI Profile](https://npiprofile.com/npi/1497774103) · Data from the CMS NPPES public registry.