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MARY DANIELLE KUYKENDALL PMHNP, APRN
NPI 1609556596
Nurse Practitioner - Psychiatric/Mental Health in South Salt Lake, UT

Active since July 24, 2023PECOS EnrolledAccepts Medicare Assignment
60 E 3750 S, SOUTH SALT LAKE, UT 84115(801) 486-0911(801) 262-3709 Get Directions Write a Review

NPPES record last updated: April 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 11, 2025, Jul 24, 2023 (2 updates tracked since 2023).

About Mary Danielle Kuykendall Pmhnp, Aprn NPPES

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

MARY DANIELLE KUYKENDALL PMHNP, APRN (NPI 1609556596) is an individual psychiatric/mental health provider in South Salt Lake, Utah, licensed in Utah (8658127-4405) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Clearfield, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1609556596
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMARY DANIELLE KUYKENDALLCredential: PMHNP, APRN
Location Address60 E 3750 SSouth Salt Lake, UT 84115-4428
Mailing AddressPo Box 850Oakley, UT 84055-0801 · (801) 696-2444
Phone(801) 486-0911
Fax(801) 262-3709
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 24, 2023
Last NPPES UpdateApril 11, 20252 updates tracked since enumeration
NPPES CertifiedApril 11, 2025
✔ NPI 1609556596 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
Licenses✔ Licensed in UT · 8658127-4405✔ Licensed in ID · 77110
60 E 3750 S, South Salt Lake, UT 84115
Open in Google Maps ↗

Secondary Practice Location 1

Location 122 S State St Ste 1007Clearfield, UT 84015-1043 · Phone (801) 344-0030 · Fax (801) 262-3709

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Providence Health Plan.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

Mary Danielle Kuykendall Pmhnp, Aprn 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 ID2860855269
PECOS Enrollment IDI20250502002710
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 Reassignment

Medicare enrollment records show Mary Kuykendall reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Midtown Community Health Center Inc
Same address
Federally Qualified Health Center (FQHC)
60 E 3750 S
South Salt Lake, UT 84115
  • Reassigned Medicare billing, Utah enrollment
  • 19 clinicians in this Medicare group
NPI 1033547567 (801) 486-0911

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 84115 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.

Other Providers at the Same Location NPPES 3

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

MIDTOWN COMMUNITY HEALTH CENTER INC
Clinic/Center (Federally Qualified Health Center (FQHC))
60 E 3750 S
SOUTH SALT LAKE, UT 84115
Salt Lake County (801) 486-0911
MIDTOWN COMMUNITY HEALTH CENTER INC
Pharmacy (Community/Retail Pharmacy)
60 E 3750 S
SOUTH SALT LAKE, UT 84115
Salt Lake County (801) 262-3315
TYLER SCOTT FARNSWORTH PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
60 E 3750 S
SOUTH SALT LAKE, UT 84115
Salt Lake County (801) 486-0911

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 Mary Kuykendall's NPI number?

The NPI number for Mary Kuykendall is 1609556596. It was assigned to this individual provider in the NPPES registry on July 24, 2023.

Where is Mary Kuykendall located?

Mary Kuykendall practices at 60 E 3750 S, South Salt Lake, UT 84115. The listed phone number is (801) 486-0911.

What is Mary Kuykendall's specialty?

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

Is Mary Kuykendall enrolled in Medicare?

Yes. Mary Kuykendall is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Mary Kuykendall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Kuykendall reassigns Medicare benefits to Midtown Community Health Center Inc (South Salt Lake, UT). 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 Mary Kuykendall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Kuykendall accept?

Health plans from Molina Healthcare and Providence Health Plan list Mary Kuykendall 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 Mary Kuykendall was last updated on April 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.