MCKENZIE KAY AZEVEDO
NPI 1730765504
Family Medicine in Draper, UT

Q: What is Mckenzie Azevedo's NPI number?

The NPI number for Mckenzie Azevedo is 1730765504. It was assigned to this individual provider in the NPPES registry on March 22, 2021.

Q: What is Mckenzie Azevedo's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Mckenzie Azevedo was last updated on April 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 22, 2021PECOS EnrolledAccepts Medicare Assignment

12473 S MINUTEMAN DR, DRAPER, UT 84020(801) 495-7900 Get Directions Write a Review

NPPES record last updated: April 10, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 10, 2026, Mar 7, 2024, Mar 22, 2021 (3 updates tracked since 2021).

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About Mckenzie Kay Azevedo NPPES

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

MCKENZIE KAY AZEVEDO (NPI 1730765504) is an individual family medicine provider in Draper, Utah, licensed in Utah (9428379-4405) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with Intermountain Health Alta View Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1730765504

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMCKENZIE KAY AZEVEDO

Location Address12473 S MINUTEMAN DRDraper, UT 84020-7870

Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128

Phone(801) 495-7900

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateMarch 22, 2021

Last NPPES UpdateApril 10, 20263 updates tracked since enumeration

NPPES CertifiedApril 10, 2026

✔ NPI 1730765504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in UT · 9428379-4405

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

12473 S MINUTEMAN DR, Draper, UT 84020

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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 and accepts Medicare assignment

Mckenzie Kay Azevedo 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 ID9133563273

PECOS Enrollment IDI20240216002813

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.

Hospital Affiliations CMS Care Compare 2

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

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

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 84020 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 13

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

BRADLEY PRESTWICH MD

Family Medicine