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

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: October 25, 2026.

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
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Ryan Church reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physician Group Of Utah Inc
9.1 mi
Specialist
406 W SOUTH JORDAN PKWY, SUITE 500
South Jordan, UT 84095
  • Reassigned Medicare billing, Utah enrollment
  • 254 clinicians in this Medicare group
NPI 1477676930 (801) 984-3418

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 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.

Which organization bills Medicare for Ryan Church's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Church reassigns Medicare benefits to Physician Group Of Utah Inc (South Jordan, 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 Ryan Church's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.