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

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: October 25, 2026.

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

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
Open in Google Maps ↗

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

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.

Medicare Billing Reassignments

3

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

University Of Utah Adult Services
Same address
Otolaryngology
50 N MEDICAL DR
Salt Lake City, UT 84132
  • Reassigned Medicare billing, Utah enrollment
  • 2,620 clinicians in this Medicare group
NPI 1003210808 (801) 587-6336
Catholic Health Initiatives Colorado
1.1 mi
Geriatric Psychiatry
1050 E SOUTH TEMPLE FL 2
Salt Lake City, UT 84102
  • Reassigned Medicare billing, Utah enrollment
  • 136 clinicians in this Medicare group
NPI 1023711900 (801) 350-4715
Physician Group Of Utah Inc
15 mi
Specialist
406 W SOUTH JORDAN PKWY, SUITE 500
South Jordan, UT 84095
  • Reassigned Medicare billing, Utah enrollment
  • 254 clinicians in this Medicare group
NPI 1477676930 (801) 984-3418

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 587-6336
ADAM PORTER MOTR/L
Occupational Therapist
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 585-2119
DR. ERICA JANE ALEXANDRA COLVIN MD
Emergency Medicine
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2121
MEGAN MEIER MD
Internal Medicine (Rheumatology)
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2121
STACI LEE GUNTER PA-C
Physician Assistant (Surgical)
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-6908
MATTHEW D. O'DELL MD
Internal Medicine
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-7899
WATARU HORIGUCHI
Student in an Organized Health Care Education/Training Program
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2121
JEANELLE WEBB
Registered Nurse
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (925) 510-0868

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 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.

Where is Erica Kueneman located?

Erica Kueneman practices at 50 N Medical Dr, Salt Lake City, UT 84132. The listed phone number is (801) 585-9242.

What is Erica Kueneman's specialty?

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

Is Erica Kueneman enrolled in Medicare?

Yes. Erica Kueneman 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 organizations bill Medicare for Erica Kueneman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Erica Kueneman reassigns Medicare benefits to 3 organizations: University Of Utah Adult Services (Salt Lake City, UT), Catholic Health Initiatives Colorado (Salt Lake City, UT) and Physician Group Of Utah Inc (South Jordan, UT). Each 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 Erica Kueneman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Erica Kueneman accept?

Health plans from Imperial Health Plan of the Southwest, Inc., Molina Healthcare and University of Utah Health Plans list Erica Kueneman 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.

Is Erica Kueneman affiliated with any hospitals?

According to CMS data, Erica Kueneman is affiliated with Holy Cross Hospital - Salt Lake and Holy Cross Hospital-Jordan Valley.

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.