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MELISSA JEAN BOGGAN APRN
NPI 1740955145
Nurse Practitioner - Pediatrics in Salt Lake City, UT

Active since August 09, 2021PECOS Enrolled
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113(443) 854-0691 Get Directions Write a Review

NPPES record last updated: June 25, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Mar 7, 2022, Aug 9, 2021 (2 updates tracked since 2021).

About Melissa Jean Boggan Aprn NPPES

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

MELISSA JEAN BOGGAN APRN (NPI 1740955145) is an individual pediatrics provider in Salt Lake City, Utah, licensed in Florida (APRN11046247) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Orlando.

NPPES Registry Identity

NPI1740955145
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMELISSA JEAN BOGGANCredential: APRN
Location Address100 N MARIO CAPECCHI DRSalt Lake City, UT 84113-1103
Mailing Address4883 W Upper Bend DrHerriman, UT 84096-2073 · (443) 854-0691
Phone(443) 854-0691
Sole ProprietorNo
Enumeration DateAugust 9, 2021
Last NPPES UpdateJune 25, 20262 updates tracked since enumeration
NPPES CertifiedJune 25, 2026
✔ NPI 1740955145 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
Licenses✔ Licensed in FL · APRN11046247✔ Licensed in FL · 11014718
100 N MARIO CAPECCHI DR, Salt Lake City, UT 84113
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Secondary Practice Location 1

Location 1265 E Rollins St Ste 4700Orlando, FL 32804-5534 · Phone (407) 845-8352 · Fax (407) 845-8353

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)

Melissa Jean Boggan Aprn 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
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-4980
IHC HEALTH SERVICES INC
Pediatrics
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
MADELINE ANN THAYER NP
Nurse Practitioner (Family)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-3600
DR. JEFFREY S PRINCE MD
Radiology (Diagnostic Radiology)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 487-0451
MICHELLE PLOUTZ
Pediatrics (Pediatric Cardiology)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
ALICIA DONALDSON APRN
Nurse Practitioner (Pediatrics, Critical Care)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
HANNAH MARIE WINEBAUM MS, OTR/L
Occupational Therapist
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
MARK EDWARD HAMAKER M.D.
Pediatrics (Pediatric Endocrinology)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 587-3922

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 Melissa Boggan's NPI number?

The NPI number for Melissa Boggan is 1740955145. It was assigned to this individual provider in the NPPES registry on August 9, 2021.

Where is Melissa Boggan located?

Melissa Boggan practices at 100 N Mario Capecchi Dr, Salt Lake City, UT 84113. The listed phone number is (443) 854-0691.

What is Melissa Boggan's specialty?

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

Is Melissa Boggan enrolled in Medicare?

Yes. Melissa Boggan is registered in the Medicare PECOS enrollment system.

What insurance does Melissa Boggan accept?

Health plans from Select Health list Melissa Boggan 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 Melissa Boggan was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.