NANCY KIMMERLY PHD, CSW
NPI 1548752264
Social Worker - Clinical in Salt Lake City, UT

Q: What is Nancy Kimmerly's NPI number?

The NPI number for Nancy Kimmerly is 1548752264. It was assigned to this individual provider in the NPPES registry on May 30, 2018.

Q: What is Nancy Kimmerly's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Nancy Kimmerly was last updated on February 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 May 30, 2018PECOS EnrolledAccepts Medicare Assignment

4000 S 700 E STE 9, SALT LAKE CITY, UT 84107(801) 441-0816 Get Directions Write a Review

NPPES record last updated: February 24, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 24, 2023, Sep 21, 2021 (2 updates tracked since 2021).

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About Nancy Kimmerly Phd, Csw NPPES

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

NANCY KIMMERLY PHD, CSW (NPI 1548752264) is an individual clinical provider in Salt Lake City, Utah and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1548752264

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameNANCY KIMMERLYCredential: PHD, CSW

Location Address4000 S 700 E STE 9Salt Lake City, UT 84107-2581

Mailing Address4000 S 700 E Ste 9Salt Lake City, UT 84107-2581 · (801) 441-0816

Phone(801) 441-0816

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateMay 30, 2018

Last NPPES UpdateFebruary 24, 20232 updates tracked since enumeration

NPPES CertifiedFebruary 24, 2023

✔ NPI 1548752264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

4000 S 700 E STE 9, Salt Lake City, UT 84107

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Other Identifiers 1

Other146975422UT · Utah License

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nancy Kimmerly Phd, Csw 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 ID2264869247

PECOS Enrollment IDI20200304001359

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

Medicare enrollment records show Nancy Kimmerly reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Compass Counseling And Consulting

1.6 mi

Community/Behavioral Health

3970 S 700 E, OLD FARM PROFESSIONAL PLAZA #17
Salt Lake City, UT 84107

Reassigned Medicare billing, Utah enrollment
18 clinicians in this Medicare group

NPI 1356669360 (801) 635-4141

Millcreek Therapy Psychological Services

1.8 mi

Clinical

1398 E LUCK LN
Millcreek, UT 84106

Reassigned Medicare billing, Utah enrollment

NPI 1033811401 (801) 870-3716

Dr Amy Fehlberg LLC

5.5 mi

Clinical

275 E SOUTH TEMPLE STE 340
Salt Lake City, UT 84111

Reassigned Medicare billing, Utah enrollment
4 clinicians in this Medicare group

NPI 1982083440 (435) 901-0759

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.

New Patient

$0.00 typical visit price

range $54.34 – $166.03

Typical copayment $0.00 (range $13.58 – $41.50)

Most-billed visit code NA

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.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STACY LYNN NICKELS BS

Counselor (Addiction (Substance Use Disorder))