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KELLIE DAUGHARTY LEWIS APRN
NPI 1750467155
Nurse Practitioner in Sandy, UT

Active since October 27, 2006PECOS Enrolled
39 WANDERWOOD WAY, SANDY, UT 84092(801) 561-8398(801) 302-0645 Get Directions Write a Review

NPPES record last updated: February 14, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 14, 2022, Jan 11, 2021 (2 updates tracked since 2021).

About Kellie Daugharty Lewis Aprn NPPES

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

KELLIE DAUGHARTY LEWIS APRN (NPI 1750467155) is an individual nurse practitioner in Sandy, Utah, licensed in Utah (322464-4405) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750467155
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKELLIE DAUGHARTY LEWISCredential: APRN
Location Address39 WANDERWOOD WAYSandy, UT 84092-4866
Mailing AddressPo Box 1009Riverton, UT 84065-1009 · (801) 561-8398 · Fax (801) 302-0645
Phone(801) 561-8398
Fax(801) 302-0645
Sole ProprietorYes
Enumeration DateOctober 27, 2006
Last NPPES UpdateFebruary 14, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 14, 2022
✔ NPI 1750467155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in UT · 322464-4405
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
39 WANDERWOOD WAY, Sandy, UT 84092
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Other Identifiers 1

Medicaid1750467155UT

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kellie Daugharty Lewis 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.

Medicare Billing Reassignment

Medicare enrollment records show Kellie Daugharty Lewis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Western Medical Consultants
3.9 mi
Internal Medicine
822 E GOLDEN PHEASANT DR
Draper, UT 84020
  • Reassigned Medicare billing, Utah enrollment
  • 17 clinicians in this Medicare group
NPI 1790175073 (801) 550-1121

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84092 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.

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 Kellie Daugharty Lewis's NPI number?

The NPI number for Kellie Daugharty Lewis is 1750467155. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Where is Kellie Daugharty Lewis located?

Kellie Daugharty Lewis practices at 39 Wanderwood Way, Sandy, UT 84092. The listed phone number is (801) 561-8398.

What is Kellie Daugharty Lewis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kellie Daugharty Lewis enrolled in Medicare?

Yes. Kellie Daugharty Lewis is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kellie Daugharty Lewis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kellie Daugharty Lewis reassigns Medicare benefits to Western Medical Consultants (Draper, UT). The 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 Kellie Daugharty Lewis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kellie Daugharty Lewis was last updated on February 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.