MICHELLE AMANDA HARLINE
NPI 1700573904
Nurse Practitioner - Pediatrics in Salt Lake City, UT

Q: What is Michelle Harline's NPI number?

The NPI number for Michelle Harline is 1700573904. It was assigned to this individual provider in the NPPES registry on April 19, 2023.

Q: What is Michelle Harline's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Michelle Harline was last updated on August 3, 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 April 19, 2023PECOS Enrolled

100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113(801) 662-3577(801) 662-3588 Get Directions Write a Review

NPPES record last updated: August 3, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Michelle Amanda Harline NPPES

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

MICHELLE AMANDA HARLINE (NPI 1700573904) is an individual pediatrics provider in Salt Lake City, Utah, licensed in Utah (8372920-4405) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700573904

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMICHELLE AMANDA HARLINE

Location Address100 N MARIO CAPECCHI DRSalt Lake City, UT 84113-1103

Mailing AddressPo Box 30180Salt Lake City, UT 84130-0180

Phone(801) 662-3577

Fax(801) 662-3588

Sole ProprietorNo

Enumeration DateApril 19, 2023

Last NPPES UpdateAugust 3, 2023

NPPES CertifiedAugust 3, 2023

✔ NPI 1700573904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in UT · 8372920-4405

100 N MARIO CAPECCHI DR, Salt Lake City, UT 84113

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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle Amanda Harline is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

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.

KEEGAN MARIE RYAN PT, DPT

Physical Therapist