RIKKI LEE WORTHEN AG-ACDNP
NPI 1790182228
Nurse Practitioner in Salt Lake City, UT

Q: What is Rikki Worthen's NPI number?

The NPI number for Rikki Worthen is 1790182228. It was assigned to this individual provider in the NPPES registry on November 26, 2014.

Q: What is Rikki Worthen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Rikki Worthen was last updated on April 27, 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.

Active since November 26, 2014PECOS Enrolled

500 FOOTHILL DR, SALT LAKE CITY, UT 84148(801) 582-1565 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Rikki Lee Worthen Ag-acdnp NPPES

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

RIKKI LEE WORTHEN AG-ACDNP (NPI 1790182228) is an individual nurse practitioner in Salt Lake City, Utah, licensed in Utah (5042174-4405) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Salt Lake City.

NPPES Registry Identity

NPI1790182228

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameRIKKI LEE WORTHENCredential: AG-ACDNP

Location Address500 FOOTHILL DRSalt Lake City, UT 84148-0001

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

Phone(801) 582-1565

Sole ProprietorNo

Enumeration DateNovember 26, 2014

Last NPPES UpdateApril 27, 2026

NPPES CertifiedApril 27, 2026

✔ NPI 1790182228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in UT · 5042174-4405

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.

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 5042174-4405 (UT)

500 FOOTHILL DR, Salt Lake City, UT 84148

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Secondary Practice Location 1

Location 15121 S Cottonwood StSalt Lake City, UT 84107-5701 · Phone (801) 507-7000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rikki Lee Worthen Ag-acdnp 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 84148 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.

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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.

HUNTER BULLOCK MLS(ASCP)

Technician, Pathology (Medical Laboratory)