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

Q: 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.

Q: What is Kraig Packer's specialty?

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

Q: 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 4 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.

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: August 30, 2026.

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

On this page

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, Regence BlueCross BlueShield of Utah, Select Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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

Quality

33.73

Improvement Activities

Cost

44.86

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.

What insurance does Kraig Packer accept?

Health plans from BridgeSpan Health Company, 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 4 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.