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KIM STEVENSON APRN-NP
NPI 1851542872
Nurse Practitioner in Salt Lake City, UT

Active since October 08, 2008PECOS Enrolled
5620 S WATERBURY WAY # A200, SALT LAKE CITY, UT 84121(801) 455-8822(561) 589-6511 Get Directions Write a Review

NPPES record last updated: March 24, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 24, 2023, Mar 14, 2017 (2 updates tracked since 2017).

About Kim Stevenson Aprn-np NPPES

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

KIM STEVENSON APRN-NP (NPI 1851542872) is an individual nurse practitioner in Salt Lake City, Utah, licensed in Utah (274276-4405) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851542872
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKIM STEVENSONCredential: APRN-NP
Location Address5620 S WATERBURY WAY # A200Salt Lake City, UT 84121-1180
Mailing Address5620 S Waterbury Way # A200Salt Lake City, UT 84121-1180 · (801) 455-8822 · Fax (561) 589-6511
Phone(801) 455-8822
Fax(561) 589-6511
Sole ProprietorYes
Enumeration DateOctober 8, 2008
Last NPPES UpdateMarch 24, 20232 updates tracked since enumeration
NPPES CertifiedMarch 24, 2023
✔ NPI 1851542872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in UT · 274276-4405✔ Licensed in UT · 274276-8900
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.
5620 S WATERBURY WAY # A200, Salt Lake City, UT 84121
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Other Names 1

Former Name (1)Kim Stevenson Aprn-np

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Imperial Health Plan of the Southwest, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kim Stevenson Aprn-np 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 Reassignments

2

Medicare enrollment records show Kim Stevenson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Exodus Healthcare Network PLLC
13 mi
Family Medicine
3665 S 8400 W, STE 110
Magna, UT 84044
  • Reassigned Medicare billing, Utah enrollment
  • 43 clinicians in this Medicare group
NPI 1306952783 (801) 250-9638
Life Spring Pain Management, LLC
28 mi
Health Service
275 W 200 N, STE 7
Kaysville, UT 84037
  • Reassigned Medicare billing, Utah enrollment
  • 9 clinicians in this Medicare group
NPI 1699115188 (801) 546-1300

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84121 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 Kim Stevenson's NPI number?

The NPI number for Kim Stevenson is 1851542872. It was assigned to this individual provider in the NPPES registry on October 8, 2008. The provider is also known as Kim Stevenson Aprn-Np.

Where is Kim Stevenson located?

Kim Stevenson practices at 5620 S Waterbury Way # A200, Salt Lake City, UT 84121. The listed phone number is (801) 455-8822.

What is Kim Stevenson's specialty?

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

Is Kim Stevenson enrolled in Medicare?

Yes. Kim Stevenson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kim Stevenson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kim Stevenson reassigns Medicare benefits to 2 organizations: Exodus Healthcare Network PLLC (Magna, UT) and Life Spring Pain Management, LLC (Kaysville, UT). Each 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 Kim Stevenson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kim Stevenson accept?

Health plans from Imperial Health Plan of the Southwest, Inc. list Kim Stevenson 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 Kim Stevenson was last updated on March 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.