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ELISE MARIE ANDERSON DNP
NPI 1669160792
Nurse Practitioner - Family in Salt Lake City, UT

Active since April 26, 2023PECOS EnrolledAccepts Medicare Assignment
500 FOOTHILL DR, SALT LAKE CITY, UT 84148(801) 582-1565 Get Directions Write a Review

NPPES record last updated: June 25, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 25, 2025, May 2, 2024 (2 updates tracked since 2024).

About Elise Marie Anderson Dnp NPPES

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

ELISE MARIE ANDERSON DNP (NPI 1669160792) is an individual family provider in Salt Lake City, Utah, licensed in Utah (12096000-4405) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and maintains a secondary practice location in Vineyard.

NPPES Registry Identity

NPI1669160792
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameELISE MARIE ANDERSONCredential: DNP
Location Address500 FOOTHILL DRSalt Lake City, UT 84148-4548
Mailing AddressPo Box 912042St George, UT 84791-2042 · (435) 215-0230
Phone(801) 582-1565
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateApril 26, 2023
Last NPPES UpdateJune 25, 20252 updates tracked since enumeration
NPPES CertifiedJune 25, 2025
✔ NPI 1669160792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in UT · 12096000-4405
Also ListedRegistered NurseTaxonomy 163W00000X · License 12096000-3102 (UT)
500 FOOTHILL DR, Salt Lake City, UT 84148
Open in Google Maps ↗

Secondary Practice Location 1

Location 1691 E 400 N Ste 110Vineyard, UT 84059-7509 · Phone (385) 666-9600 · Fax (385) 666-9601

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health, 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

Elise Marie Anderson Dnp 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 ID8729593579
PECOS Enrollment IDI20250711002510
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

2

Medicare enrollment records show Elise Anderson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Utah Adult Services
0.1 mi
Sports Medicine
555 FOOTHILL DR
Salt Lake City, UT 84112
  • Reassigned Medicare billing, Utah enrollment
  • 2,620 clinicians in this Medicare group
NPI 1164826665 (801) 587-6336
Southwest Spine And Pain Care Specialists, LLC
268 mi
Pain Medicine
2891 E MALL DRIVE, STE. 101
Saint George, UT 84791
  • Reassigned Medicare billing, Utah enrollment
  • 36 clinicians in this Medicare group
NPI 1144509985 (435) 656-2424

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

Hospital Affiliations CMS Care Compare 5

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

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

American Fork Hospital

Acute Care Hospitals · American Fork, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460023
Location170 North 1100 EastAmerican Fork, UT 84003 · Utah County
Emergency services Birthing friendly

Intermountain Health Alta View Hospital

Acute Care Hospitals · Sandy, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460044
Location9660 South 1300 EastSandy, UT 84094 · Salt Lake County
Emergency services Birthing friendly

St Mark's Hospital

Acute Care Hospitals · Salt Lake City, UT
3/5 CMS rating
OwnershipProprietary
CMS Certification Number460047
Location1200 East 3900 SouthSalt Lake City, UT 84124 · Salt Lake County
Emergency services Birthing friendly

Riverton Hospital

Acute Care Hospitals · Riverton, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460058
Location3741 West 12600 SouthRiverton, UT 84065 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84148 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.

HUNTER BULLOCK MLS(ASCP)
Technician, Pathology (Medical Laboratory)
500 FOOTHILL DR
SALT LAKE CITY, UT 84148
Salt Lake County (801) 582-1565
NICOLAS HORTENSI
Student in an Organized Health Care Education/Training Program
500 FOOTHILL DR
SALT LAKE CITY, UT 84148
Salt Lake County (801) 582-1565
MALLORY SPEAKMAN
Registered Nurse
500 FOOTHILL DR
SALT LAKE CITY, UT 84148
Salt Lake County (801) 582-1565
FAITH FUENTES FNP-BC
Nurse Practitioner (Family)
500 FOOTHILL DR
SALT LAKE CITY, UT 84148
Salt Lake County (801) 891-8638
MR. MICHAEL THOMAS STEVENSON LCSW
Social Worker (Clinical)
500 FOOTHILL DR
SALT LAKE CITY, UT 84148
Salt Lake County (801) 582-1565
MR. LAWRENCE DIXON APRN
Nurse Practitioner (Gerontology)
500 FOOTHILL DR
SALT LAKE CITY, UT 84148
Salt Lake County (801) 582-1565
THOMAS ALAN GOOD LANCE WHITE BULL CPHT
Pharmacy Technician
500 FOOTHILL DR
SALT LAKE CITY, UT 84148
Salt Lake County (801) 582-1565
CLAYTON HAMILTON PHARMD
Pharmacist
500 FOOTHILL DR
SALT LAKE CITY, UT 84148
Salt Lake County (406) 270-7185

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 Elise Anderson's NPI number?

The NPI number for Elise Anderson is 1669160792. It was assigned to this individual provider in the NPPES registry on April 26, 2023.

Where is Elise Anderson located?

Elise Anderson practices at 500 Foothill Dr, Salt Lake City, UT 84148. The listed phone number is (801) 582-1565.

What is Elise Anderson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Elise Anderson enrolled in Medicare?

Yes. Elise Anderson 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 Elise Anderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elise Anderson reassigns Medicare benefits to 2 organizations: University Of Utah Adult Services (Salt Lake City, UT) and Southwest Spine And Pain Care Specialists, LLC (Saint George, 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 Elise Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elise Anderson accept?

Health plans from Select Health and University of Utah Health Plans list Elise Anderson 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 Elise Anderson affiliated with any hospitals?

According to CMS data, Elise Anderson is affiliated with University Of Utah Hospitals And Clinics, American Fork Hospital, Intermountain Health Alta View Hospital, St Mark's Hospital and Riverton Hospital.

When was this NPI record last updated?

The NPPES record for Elise Anderson was last updated on June 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.