MRS. KIMBERLY HATFIELD A.P.R.N.
NPI 1770462707
Nurse Practitioner - Family in Provo, UT

Q: What is Kimberly Hatfield's NPI number?

The NPI number for Kimberly Hatfield is 1770462707. It was assigned to this individual provider in the NPPES registry on September 2, 2025.

Q: What is Kimberly Hatfield's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Hatfield was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since September 02, 2025PECOS Enrolled

395 W BULLDOG BLVD, PROVO, UT 84604(801) 357-7081 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 19, 2025, Nov 6, 2025, Sep 2, 2025 (3 updates tracked since 2025).

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About Mrs. Kimberly Hatfield A.p.r.n. NPPES

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

MRS. KIMBERLY HATFIELD A.P.R.N. (NPI 1770462707) is an individual family provider in Provo, Utah, licensed in Utah (5656768-4405) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Provo, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1770462707

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. KIMBERLY HATFIELDCredential: A.P.R.N.

Location Address395 W BULLDOG BLVDProvo, UT 84604-3311

Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128

Phone(801) 357-7081

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateSeptember 2, 2025

Last NPPES UpdateNovember 19, 20253 updates tracked since enumeration

NPPES CertifiedNovember 19, 2025

✔ NPI 1770462707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in UT · 5656768-4405

395 W BULLDOG BLVD, Provo, UT 84604

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Secondary Practice Location 1

Location 11034 N 500 WProvo, UT 84604-3380 · Phone (801) 310-0231

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kimberly Hatfield A.p.r.n. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254823768

PECOS Enrollment IDI20251121004434

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 84604 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.

ETHAN MARK NIELSEN PA

Physician Assistant