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KYLIE RUTH FACKRELL PA-C
NPI 1790330108
Physician Assistant in St George, UT

Active since August 03, 2019PECOS EnrolledAccepts Medicare Assignment
88.59/100
CMS Quality Rating
617 E RIVERSIDE DR STE 301, ST GEORGE, UT 84790(435) 216-7000 Get Directions Write a Review

NPPES record last updated: October 29, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 29, 2019, Aug 3, 2019 (2 updates tracked since 2019).

About Kylie Ruth Fackrell Pa-c NPPES

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

KYLIE RUTH FACKRELL PA-C (NPI 1790330108) is an individual physician assistant in St George, Utah and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, is affiliated with St. George Regional Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1790330108
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKYLIE RUTH FACKRELLCredential: PA-C
Location Address617 E RIVERSIDE DR STE 301St George, UT 84790-8722
Mailing Address617 E Riverside Dr, Ste 301St George, UT 84790-8722 · (435) 216-7000 · Fax (435) 216-7001
Phone(435) 216-7000
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 3, 2019
Last NPPES UpdateOctober 29, 20192 updates tracked since enumeration
✔ NPI 1790330108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
617 E RIVERSIDE DR STE 301, St George, UT 84790
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Molina Healthcare, Select Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kylie Ruth Fackrell Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476986654
PECOS Enrollment IDI20191202000626, I20200219002498
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.

Areas of Expertise CMS Part B claims 6

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
543 services291 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
251 services156 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
77 services15 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0482
A definitive drug test identifies specific drugs in your system. Advanced methods like GC/MS (Gas Chromatography/Mass Spectrometry) and LC/MS (Liquid Chromatography/Mass Spectrometry) are used. These can distinguish between similar drugs, providing precise results.
56 services46 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0483
A definitive drug test identifies specific drugs in your system. It uses advanced methods like gc/ms and lc/ms, which can distinguish between different types of drugs but not necessarily their 3D forms. This test offers detailed results to support your healthcare decisions.
29 services22 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
27 services27 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St. George Regional Hospital

Acute Care Hospitals · St George, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460021
Location1380 East Medical Center DriveSt George, UT 84790 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84790 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
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

88.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.81
Promoting Interoperability99
Improvement Activities40

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SPENCER G WELLS M.D.
Anesthesiology (Pain Medicine)
617 E RIVERSIDE DR STE 301
SAINT GEORGE, UT 84790
Washington County (435) 216-7000
MARILLA ANN GARCIA LCSW
Social Worker (Clinical)
617 E RIVERSIDE DR STE 301
ST GEORGE, UT 84790
Washington County (435) 238-2278
MICHELLE DEON JOHNSON
Nurse Practitioner (Gerontology)
617 E RIVERSIDE DR STE 301
ST GEORGE, UT 84790
Washington County (435) 216-7000
SHAYLA MARIE BARRETT DNP, APRN, FNP-BC
Nurse Practitioner (Family)
617 E RIVERSIDE DR STE 301
ST GEORGE, UT 84790
Washington County (435) 216-7001
DR. JOSEPH COURTNEY EMPEY M.D.
Anesthesiology (Pain Medicine)
617 E RIVERSIDE DR STE 301
ST GEORGE, UT 84790
Washington County (435) 216-7000
HAYDEN S WORWOOD
Physician Assistant (Medical)
617 E RIVERSIDE DR STE 301
ST GEORGE, UT 84790
Washington County (435) 216-7000
DR. STEVEN D LARSEN M.D.
Pain Medicine (Interventional Pain Medicine)
617 E RIVERSIDE DR STE 301
SAINT GEORGE, UT 84790
Washington County (435) 216-7000
CORTNEY A BERNARDO PAC
Physician Assistant (Medical)
617 E RIVERSIDE DR STE 301
ST GEORGE, UT 84790
Washington County (435) 216-7000

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 Kylie Fackrell's NPI number?

The NPI number for Kylie Fackrell is 1790330108. It was assigned to this individual provider in the NPPES registry on August 3, 2019.

Where is Kylie Fackrell located?

Kylie Fackrell practices at 617 E Riverside Dr Ste 301, St George, UT 84790. The listed phone number is (435) 216-7000.

What is Kylie Fackrell's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kylie Fackrell enrolled in Medicare?

Yes. Kylie Fackrell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kylie Fackrell accept?

Health plans from Blue Cross Blue Shield of Arizona, Molina Healthcare, Select Health and University of Utah Health Plans list Kylie Fackrell 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.

Is Kylie Fackrell affiliated with any hospitals?

According to CMS data, Kylie Fackrell is affiliated with St. George Regional Hospital.

When was this NPI record last updated?

The NPPES record for Kylie Fackrell was last updated on October 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.