CHELYN CRAPO FULLMER
NPI 1740656453
Advanced Practice Midwife in Salt Lake City, UT
About Chelyn Crapo Fullmer NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHELYN CRAPO FULLMER (NPI 1740656453) is an individual advanced practice midwife in Salt Lake City, Utah, licensed in Utah (8005666-4402) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
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
Chelyn Crapo Fullmer 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
2Medicare enrollment records show Chelyn Fullmer reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
West Valley City, UT 84127
- Reassigned Medicare billing, Utah enrollment
- 3,691 clinicians in this Medicare group
Salt Lake City, UT 84132
- Reassigned Medicare billing, Utah enrollment
- 2,620 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 84120 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 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WEST VALLEY, UT 84120
WEST VALLEY CITY, UT 84120
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 Chelyn Fullmer's NPI number?
The NPI number for Chelyn Fullmer is 1740656453. It was assigned to this individual provider in the NPPES registry on August 17, 2015.
Where is Chelyn Fullmer located?
Chelyn Fullmer practices at 5373 W Lake Park Blvd, Salt Lake City, UT 84120. The listed phone number is (801) 902-7960.
What is Chelyn Fullmer's specialty?
The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.
Is Chelyn Fullmer enrolled in Medicare?
Yes. Chelyn Fullmer 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 Chelyn Fullmer's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Chelyn Fullmer reassigns Medicare benefits to 2 organizations: Ihc Health Services Inc (West Valley City, UT) and University Of Utah Adult Services (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 Chelyn Fullmer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Chelyn Fullmer accept?
Health plans from Select Health list Chelyn Fullmer 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 Chelyn Fullmer was last updated on March 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Chelyn Crapo Fullmer · NPI 1740656453
Advanced Practice Midwife physician in Salt Lake City, Utah. Individual provider, active in the CMS NPPES registry since August 17, 2015.
## Identity
- **NPI:** 1740656453 (Entity type: Individual)
- **Enumerated:** August 17, 2015
- **Primary specialty:** Advanced Practice Midwife · taxonomy 367A00000X
- **State license:** 8005666-4402 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 5373 W LAKE PARK BLVD, Salt Lake City, UT 84120-8208
- **Phone:** (801) 902-7960
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Ihc Health Services Inc (NPI 1144678251, West Valley City, UT); University Of Utah Adult Services (NPI 1578967345, Salt Lake City, UT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** March 20, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1740656453) · Data from the CMS NPPES public registry.