MR. RYAN DENNIS CHURCH FNP-C
NPI 1912909714
Nurse Practitioner - Family in Salt Lake City, UT

Q: What is Ryan Church's NPI number?

The NPI number for Ryan Church is 1912909714. It was assigned to this individual provider in the NPPES registry on August 11, 2005.

Q: What is Ryan Church's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Ryan Church was last updated on November 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since August 11, 2005PECOS Enrolled

1220 E 3900 S STE 1F, SALT LAKE CITY, UT 84124(801) 262-5711(801) 262-5741 Get Directions Write a Review

NPPES record last updated: November 11, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Ryan Dennis Church Fnp-c NPPES

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

MR. RYAN DENNIS CHURCH FNP-C (NPI 1912909714) is an individual family provider in Salt Lake City, Utah, licensed in Utah (278935-4405) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Draper.

NPPES Registry Identity

NPI1912909714

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. RYAN DENNIS CHURCHCredential: FNP-C

Location Address1220 E 3900 S STE 1FSalt Lake City, UT 84124-1327

Mailing AddressPo Box 741648Atlanta, GA 30374-1648

Phone(801) 262-5711

Fax(801) 262-5741

Sole ProprietorYes

Enumeration DateAugust 11, 2005

Last NPPES UpdateNovember 11, 2020

NPPES CertifiedNovember 11, 2020

✔ NPI 1912909714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in UT · 278935-4405

1220 E 3900 S STE 1F, Salt Lake City, UT 84124

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Secondary Practice Location 1

Location 174 E Kimballs Ln Ste 330Draper, UT 84020-5006 · Phone (801) 266-3418 · Fax (801) 266-4174

Other Identifiers 2

OtherP99858UT · Upin

Other27893544001001UT · Bcbs

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Ryan Dennis Church Fnp-c 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 84124 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 2

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

RANDI MOORE HOLLIS FNP

Nurse Practitioner (Psychiatric/Mental Health)

1220 E 3900 S STE 1F
SALT LAKE CITY, UT 84124

Salt Lake County (801) 262-5711

MATTHEW WAYNE JARVIS DNP

Nurse Practitioner

1220 E 3900 S STE 1F
SALT LAKE CITY, UT 84124

Salt Lake County (801) 262-5711

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 Ryan Church's NPI number?

The NPI number for Ryan Church is 1912909714. It was assigned to this individual provider in the NPPES registry on August 11, 2005.

Where is Ryan Church located?

Ryan Church practices at 1220 E 3900 S Ste 1F, Salt Lake City, UT 84124. The listed phone number is (801) 262-5711.

What is Ryan Church's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Ryan Church enrolled in Medicare?

Yes. Ryan Church is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ryan Church was last updated on November 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.