LEE KILPACK PMHNP
NPI 1538991682
Nurse Practitioner - Psychiatric/Mental Health in North Salt Lake, UT

Active since August 16, 2024PECOS Enrolled
673 PARKWAY DR, NORTH SALT LAKE, UT 84054(435) 730-0648 Get Directions Write a Review

NPPES record last updated: August 16, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Lee Kilpack Pmhnp NPPES

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

LEE KILPACK PMHNP (NPI 1538991682) is an individual psychiatric/mental health provider in North Salt Lake, Utah, licensed in Utah (287573-8900) and active in the NPI registry since August 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538991682
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameLEE KILPACKCredential: PMHNP
Location Address673 PARKWAY DRNorth Salt Lake, UT 84054-2607
Mailing Address673 Parkway DrNorth Salt Lake, UT 84054-2607 · (435) 730-0648
Sole ProprietorNo
Enumeration DateAugust 16, 2024
NPPES CertifiedAugust 16, 2024
✔ NPI 1538991682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in UT · 287573-8900
673 PARKWAY DR, North Salt Lake, UT 84054

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lee Kilpack Pmhnp 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 84054 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.

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 Lee Kilpack's NPI number?

The NPI number for Lee Kilpack is 1538991682. It was assigned to this individual provider in the NPPES registry on August 16, 2024.

Where is Lee Kilpack located?

Lee Kilpack practices at 673 Parkway Dr, North Salt Lake, UT 84054. The listed phone number is (435) 730-0648.

What is Lee Kilpack's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Lee Kilpack enrolled in Medicare?

Yes. Lee Kilpack is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lee Kilpack was last updated on August 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.