KRISTEN M. DURBIN MD
NPI 1639631740
Pediatrics in Salt Lake City, UT
About Kristen M. Durbin Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTEN M. DURBIN MD (NPI 1639631740) is an individual pediatrics provider in Salt Lake City, Utah, licensed in Utah (11956942-1205) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Warren Alpert Medical School Of Brown University (2019).
NPPES Registry Identity
Specialties & Licenses 4
Accepted 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
Kristen M. Durbin Md 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.
Medicare Billing Reassignments
3Medicare enrollment records show Kristen Durbin reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Salt Lake City, UT 84132
- Reassigned Medicare billing, Utah enrollment
- 295 clinicians in this Medicare group
Salt Lake City, UT 84113
- Reassigned Medicare billing, Utah enrollment
- 111 clinicians in this Medicare group
Salt Lake City, UT 84106
- Reassigned Medicare billing, Utah enrollment
- 28 clinicians in this Medicare group
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 84113 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SALT LAKE CITY, UT 84113
SALT LAKE CITY, UT 84113
SALT LAKE CITY, UT 84113
SALT LAKE CITY, UT 84113
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 Kristen Durbin's NPI number?
The NPI number for Kristen Durbin is 1639631740. It was assigned to this individual provider in the NPPES registry on April 5, 2019.
Where is Kristen Durbin located?
Kristen Durbin practices at 100 N Mario Capecchi Dr, Salt Lake City, UT 84113. The listed phone number is (801) 581-2121.
What is Kristen Durbin's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Kristen Durbin enrolled in Medicare?
Yes. Kristen Durbin 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 Kristen Durbin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristen Durbin reassigns Medicare benefits to 3 organizations: University Of Utah Behavioral Health Services (Salt Lake City, UT), University Of Utah Pediatric Behavioral Health Services (Salt Lake City, UT) and Salt Lake Behavioral Health, LLC (Salt Lake City, 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 Kristen Durbin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kristen Durbin accept?
Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Utah list Kristen Durbin 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 Kristen Durbin was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Kristen M. Durbin, MD · NPI 1639631740
Pediatrics physician in Salt Lake City, Utah. Individual provider, active in the CMS NPPES registry since April 5, 2019.
## Identity
- **NPI:** 1639631740 (Entity type: Individual)
- **Enumerated:** April 5, 2019
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 11956942-1205 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 N MARIO CAPECCHI DR, Salt Lake City, UT 84113-1103
- **Phone:** (801) 581-2121
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): University Of Utah Behavioral Health Services (NPI 1205290343, Salt Lake City, UT); University Of Utah Pediatric Behavioral Health Services (NPI 1558895094, Salt Lake City, UT); Salt Lake Behavioral Health, LLC (NPI 1295066116, Salt Lake City, UT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Warren Alpert Medical School Of Brown University, class of 2019
## Record status
- **NPPES last updated:** March 17, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1639631740) · Data from the CMS NPPES public registry.