ERICA KUENEMAN APRN
NPI 1629675673
Nurse Practitioner - Acute Care in Salt Lake City, UT

Q: What is Erica Kueneman's NPI number?

The NPI number for Erica Kueneman is 1629675673. It was assigned to this individual provider in the NPPES registry on October 2, 2020.

Q: What is Erica Kueneman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Erica Kueneman was last updated on June 21, 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 October 02, 2020PECOS EnrolledAccepts Medicare Assignment

50 N MEDICAL DR, SALT LAKE CITY, UT 84132(801) 585-9242 Get Directions Write a Review

NPPES record last updated: June 21, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 21, 2023, Nov 17, 2021, Oct 2, 2020 (3 updates tracked since 2020).

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About Erica Kueneman Aprn NPPES

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

ERICA KUENEMAN APRN (NPI 1629675673) is an individual acute care provider in Salt Lake City, Utah, licensed in Utah (9120925-4405) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS, is affiliated with Holy Cross Hospital - Salt Lake, and maintains a secondary practice location in Salt Lake City.

NPPES Registry Identity

NPI1629675673

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameERICA KUENEMANCredential: APRN

Location Address50 N MEDICAL DRSalt Lake City, UT 84132-0001

Mailing Address218 1/2 N Canyon RdSalt Lake City, UT 84103-2554 · (801) 834-2933

Phone(801) 585-9242

Sole ProprietorYes

Medical School CMSUniversity Of Utah School Of MedicineGraduated 2020

Enumeration DateOctober 2, 2020

Last NPPES UpdateJune 21, 20233 updates tracked since enumeration

NPPES CertifiedJune 21, 2023

✔ NPI 1629675673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in UT · 9120925-4405

50 N MEDICAL DR, Salt Lake City, UT 84132

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Secondary Practice Location 1

Location 182 S 1100 E Ste 403Salt Lake City, UT 84102-1892 · Phone (801) 384-4730

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Imperial Health Plan of the Southwest, Inc., Molina Healthcare, University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Erica Kueneman 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 ID4284044397

PECOS Enrollment IDI20201030001830

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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

61 services38 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

33 services23 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

18 services18 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

13 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Holy Cross Hospital - Salt Lake

Acute Care Hospitals · Salt Lake City, UT

2/5 CMS rating

OwnershipProprietary

CMS Certification Number460003

Location1050 East South TempleSalt Lake City, UT 84102 · Salt Lake County

Emergency services

Holy Cross Hospital-Jordan Valley

Acute Care Hospitals · West Jordan, UT

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460051

Location3580 West 9000 SouthWest Jordan, UT 84088 · Salt Lake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84132 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 20

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

UNIVERSITY OF UTAH ADULT SERVICES

Otolaryngology