LILY ROSE FORTUNATO AGACNP
NPI 1881585909
Nurse Practitioner - Acute Care in Salt Lake City, UT
About Lily Rose Fortunato Agacnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LILY ROSE FORTUNATO AGACNP (NPI 1881585909) is an individual acute care provider in Salt Lake City, Utah, licensed in Utah (11765744-4405) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Lily Rose Fortunato Agacnp 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.
Medicare Billing Reassignment
Medicare enrollment records show Lily Fortunato reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Salt Lake City, UT 84112
- Reassigned Medicare billing, Utah enrollment
- 2,620 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Utah Hospitals And Clinics
Acute Care Hospitals · Salt Lake City, UTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84112 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SALT LAKE CITY, UT 84112
SALT LAKE CITY, UT 84112
SALT LAKE CITY, UT 84112
SALT LAKE CITY, UT 84112
SALT LAKE CITY, UT 84112
SALT LAKE CITY, UT 84112
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 Lily Fortunato's NPI number?
The NPI number for Lily Fortunato is 1881585909. It was assigned to this individual provider in the NPPES registry on July 15, 2025.
Where is Lily Fortunato located?
Lily Fortunato practices at 1950 Circle Of Hope Dr, Salt Lake City, UT 84112. The listed phone number is (619) 321-8647.
What is Lily Fortunato's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Lily Fortunato enrolled in Medicare?
Yes. Lily Fortunato 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.
Which organization bills Medicare for Lily Fortunato's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lily Fortunato reassigns Medicare benefits to University Of Utah Adult Services (Salt Lake City, UT). The 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 Lily Fortunato's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lily Fortunato accept?
Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Utah list Lily Fortunato 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 Lily Fortunato affiliated with any hospitals?
According to CMS data, Lily Fortunato is affiliated with University Of Utah Hospitals And Clinics.
When was this NPI record last updated?
The NPPES record for Lily Fortunato was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Lily Rose Fortunato, AGACNP · NPI 1881585909
Acute Care physician in Salt Lake City, Utah. Individual provider, active in the CMS NPPES registry since July 15, 2025.
## Identity
- **NPI:** 1881585909 (Entity type: Individual)
- **Enumerated:** July 15, 2025
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 11765744-4405 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 1950 CIRCLE OF HOPE DR, Salt Lake City, UT 84112-5500
- **Phone:** (619) 321-8647
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Of Utah Adult Services (NPI 1205216264, Salt Lake City, UT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** March 9, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1881585909) · Data from the CMS NPPES public registry.