ELIZABETH ELOUISE WILLMORE FNP
NPI 1730788761
Nurse Practitioner - Primary Care in Riverton, UT

Active since October 21, 2020PECOS EnrolledAccepts Medicare Assignment
12391 S 4000 W, RIVERTON, UT 84096(801) 302-1700 Get Directions Write a Review

NPPES record last updated: January 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 27, 2022, Oct 21, 2020 (2 updates tracked since 2020).

About Elizabeth Elouise Willmore Fnp NPPES

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

ELIZABETH ELOUISE WILLMORE FNP (NPI 1730788761) is an individual primary care provider in Riverton, Utah, licensed in Utah (9798092-4405) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1730788761
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameELIZABETH ELOUISE WILLMORECredential: FNP
Location Address12391 S 4000 WRiverton, UT 84096-7012
Mailing Address2965 W 3500 SWest Valley City, UT 84119-3602 · (801) 965-3600
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 21, 2020
Last NPPES UpdateJanuary 21, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2025
NPI 1730788761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in UT · 9798092-4405
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 9798092-4405 (UT)
12391 S 4000 W, Riverton, UT 84096

Accepted 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

Elizabeth Elouise Willmore Fnp 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 ID5193135267
PECOS Enrollment IDI20201030000362
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.

Areas of Expertise CMS Part B claims 2

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 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.
69 services45 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.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84096 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.

Pediatrics
12391 S 4000 W
RIVERTON, UT 84096
Specialist
12391 S 4000 W, STE 208
RIVERTON, UT 84096
Dentist (General Practice)
12391 S 4000 W, SUITE 206
RIVERTON, UT 84096
Physician Assistant
12391 S 4000 W
RIVERTON, UT 84096
Nurse Practitioner (Primary Care)
12391 S 4000 W
RIVERTON, UT 84096
Nurse Practitioner (Family)
12391 S 4000 W
RIVERTON, UT 84096
Clinic/Center (Multi-Specialty)
12391 S 4000 W
RIVERTON, UT 84096
Physician Assistant (Medical)
12391 S 4000 W
RIVERTON, UT 84096

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 Elizabeth Willmore's NPI number?

The NPI number for Elizabeth Willmore is 1730788761. It was assigned to this individual provider in the NPPES registry on October 21, 2020.

Where is Elizabeth Willmore located?

Elizabeth Willmore practices at 12391 S 4000 W, Riverton, UT 84096. The listed phone number is (801) 302-1700.

What is Elizabeth Willmore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Elizabeth Willmore enrolled in Medicare?

Yes. Elizabeth Willmore 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.

What insurance does Elizabeth Willmore accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Elizabeth Willmore 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 Elizabeth Willmore was last updated on January 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.