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ALICE A-HUI FETZER FNP-C
NPI 1750978904
Family Medicine in Bountiful, UT

Active since December 22, 2020PECOS Enrolled
390 N MAIN ST, BOUNTIFUL, UT 84010(801) 397-6320(801) 397-6349 Get Directions Write a Review

NPPES record last updated: July 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 2, 2024, Dec 22, 2020 (2 updates tracked since 2020).

About Alice A-hui Fetzer Fnp-c NPPES

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

ALICE A-HUI FETZER FNP-C (NPI 1750978904) is an individual family medicine provider in Bountiful, Utah, licensed in Utah (9053280-4405) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1750978904
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameALICE A-HUI FETZERCredential: FNP-C
Location Address390 N MAIN STBountiful, UT 84010-6046
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128
Phone(801) 397-6320
Fax(801) 397-6349
Sole ProprietorNo
Enumeration DateDecember 22, 2020
Last NPPES UpdateJuly 2, 20242 updates tracked since enumeration
NPPES CertifiedJuly 2, 2024
✔ NPI 1750978904 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 · 9053280-4405
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.
390 N MAIN ST, Bountiful, UT 84010
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Secondary Practice Locations 2

Location 175 S 200 E # 100Provo, UT 84606-3146 · Phone (801) 877-5801
Location 27724 S 5600 WWest Jordan, UT 84081-5414 · Phone (801) 432-8480

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)

Alice A-hui Fetzer Fnp-c 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 84010 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.

DAELYN TASHA CLAWSON RN
Nurse Practitioner
390 N MAIN ST
BOUNTIFUL, UT 84010
Davis County (801) 408-8502
DR. NEDDA BETH HENDLER MD
Internal Medicine
390 N MAIN ST
BOUNTIFUL, UT 84010
Davis County (801) 294-1044
DR. ANITA M. ALBANESE MD
Family Medicine
390 N MAIN ST
BOUNTIFUL, UT 84010
Davis County (801) 397-6301
DR. ALISA ANN KNOWLTON MD
Family Medicine
390 N MAIN ST
BOUNTIFUL, UT 84010
Davis County (801) 294-1020
ASHLEY CURTIS D.O.
Family Medicine
390 N MAIN ST
BOUNTIFUL, UT 84010
Davis County (208) 234-4700
KELSEY CRAPO FNP-C
Nurse Practitioner (Family)
390 N MAIN ST
BOUNTIFUL, UT 84010
Davis County (801) 397-6400
DR. BRENDA M RITSON MD
Pediatrics
390 N MAIN ST
BOUNTIFUL, UT 84010
Davis County (801) 397-6350
DR. BENZ GULATI PIMSAKUL MD
Family Medicine
390 N MAIN ST
BOUNTIFUL, UT 84010
Davis County (801) 397-6300

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 Alice Fetzer's NPI number?

The NPI number for Alice Fetzer is 1750978904. It was assigned to this individual provider in the NPPES registry on December 22, 2020.

Where is Alice Fetzer located?

Alice Fetzer practices at 390 N Main St, Bountiful, UT 84010. The listed phone number is (801) 397-6320.

What is Alice Fetzer's specialty?

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

Is Alice Fetzer enrolled in Medicare?

Yes. Alice Fetzer is registered in the Medicare PECOS enrollment system.

What insurance does Alice Fetzer accept?

Health plans from Select Health list Alice Fetzer 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 Alice Fetzer was last updated on July 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.