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MR. KRAIG LYNN PACKER NPC
NPI 1518959535
Nurse Practitioner - Adult Health in Provo, UT

Active since August 16, 2005PECOS Enrolled
66.95/100
CMS Quality Rating
3339 CHEROKEE LN, PROVO, UT 84604(801) 803-0877 Get Directions Write a Review

NPPES record last updated: September 9, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 9, 2021, Mar 17, 2020, Nov 15, 2018 and 1 more (4 updates tracked since 2016).

About Mr. Kraig Lynn Packer Npc NPPES

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

MR. KRAIG LYNN PACKER NPC (NPI 1518959535) is an individual adult health provider in Provo, Utah, licensed in Utah (261539-4405) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1518959535
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameMR. KRAIG LYNN PACKERCredential: NPC
Location Address3339 CHEROKEE LNProvo, UT 84604-4866
Mailing Address3339 Cherokee LnProvo, UT 84604-4866
Phone(801) 803-0877
Sole ProprietorNo
Enumeration DateAugust 16, 2005
Last NPPES UpdateSeptember 9, 20214 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2021
✔ NPI 1518959535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in UT · 261539-4405
Also ListedNurse PractitionerTaxonomy 363L00000X · License 261539-4405 (UT), 115014 (CO)
3339 CHEROKEE LN, Provo, UT 84604
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11175 E 50 S Ste 251American Fork, UT 84003-2850 · Phone (801) 354-8225 · Fax (801) 429-8191
Location 2972 N 600 ESpanish Fork, UT 84660-1306 · Phone (801) 373-4366

Other Identifiers 1

Medicaid50634879CO

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 (PECOS)

Mr. Kraig Lynn Packer Npc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Kraig Packer reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ihc Health Services Inc
2.3 mi
Sports Medicine
1157 N 300 W, #201
Provo, UT 84604
  • Reassigned Medicare billing, Utah enrollment
  • 1,729 clinicians in this Medicare group
NPI 1649304445 (801) 357-1200
Western Medical Consultants
20 mi
Internal Medicine
822 E GOLDEN PHEASANT DR
Draper, UT 84020
  • Reassigned Medicare billing, Utah enrollment
  • 17 clinicians in this Medicare group
NPI 1790175073 (801) 550-1121

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 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.

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.

66.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality33.73
Improvement Activities40
Cost44.86

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 Kraig Packer's NPI number?

The NPI number for Kraig Packer is 1518959535. It was assigned to this individual provider in the NPPES registry on August 16, 2005.

Where is Kraig Packer located?

Kraig Packer practices at 3339 Cherokee Ln, Provo, UT 84604. The listed phone number is (801) 803-0877.

What is Kraig Packer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Kraig Packer enrolled in Medicare?

Yes. Kraig Packer is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kraig Packer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kraig Packer reassigns Medicare benefits to 2 organizations: Ihc Health Services Inc (Provo, UT) and Western Medical Consultants (Draper, UT). Each 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 Kraig Packer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kraig Packer accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Kraig Packer 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 Kraig Packer was last updated on September 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.