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LILY ROSE FORTUNATO AGACNP
NPI 1881585909
Nurse Practitioner - Acute Care in Salt Lake City, UT

Active since July 15, 2025PECOS EnrolledAccepts Medicare Assignment
1950 CIRCLE OF HOPE DR, SALT LAKE CITY, UT 84112(619) 321-8647 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1881585909
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameLILY ROSE FORTUNATOCredential: AGACNP
Location Address1950 CIRCLE OF HOPE DRSalt Lake City, UT 84112-5500
Mailing Address942 E North Union Ave Unit 339Midvale, UT 84047-1931 · (619) 321-8647
Phone(619) 321-8647
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 15, 2025
Last NPPES UpdateMarch 9, 2026
NPPES CertifiedMarch 9, 2026
✔ NPI 1881585909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in UT · 11765744-4405
1950 CIRCLE OF HOPE DR, Salt Lake City, UT 84112
Open in Google Maps ↗

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

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.

PECOS PAC ID7719475615
PECOS Enrollment IDI20251022004098
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.

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, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

Physician 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.

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.

BMT DIVISION DEPARTMENT OF UNIVERSITY OF UTAH
Internal Medicine (Hematology & Oncology)
1950 CIRCLE OF HOPE DR
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-2121
SETH YOUKSTETTER PA-C
Physician Assistant
1950 CIRCLE OF HOPE DR
SALT LAKE CITY, UT 84112
Salt Lake County (801) 585-0100
STEPHANIE BAKER NEERINGS MSN, APRN, FNP-BC
Nurse Practitioner (Family)
1950 CIRCLE OF HOPE DR
SALT LAKE CITY, UT 84112
Salt Lake County (801) 587-7000
STEPHANIE ANNA SANDERS PHARM.D.
Pharmacist
1950 CIRCLE OF HOPE DR, SUITE 2110
SALT LAKE CITY, UT 84112
Salt Lake County (801) 587-4272
MS. ERICA JANE FARR PA-C
Physician Assistant (Medical)
1950 CIRCLE OF HOPE DR, SUITE 2810
SALT LAKE CITY, UT 84112
Salt Lake County (801) 213-5688
KATE BLAKE NP
Nurse Practitioner
1950 CIRCLE OF HOPE DR
SALT LAKE CITY, UT 84112
Salt Lake County (801) 587-7000
THU M TRAN PHARMD
Pharmacist (Oncology)
1950 CIRCLE OF HOPE DR, SUITE 2110, PHARMACY SERVICES
SALT LAKE CITY, UT 84112
Salt Lake County (801) 587-4475
MARTHA JANE GLENN MD
Internal Medicine (Medical Oncology)
1950 CIRCLE OF HOPE DR
SALT LAKE CITY, UT 84112
Salt Lake County (801) 213-3800

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.

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 with the weekly NPPES data releases published by CMS.