LARA COOLEY PORTMANN APRN
NPI 1972669182
Nurse Practitioner in Salt Lake City, UT

Q: What is Lara Portmann's NPI number?

The NPI number for Lara Portmann is 1972669182. It was assigned to this individual provider in the NPPES registry on December 29, 2006.

Q: What is Lara Portmann's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lara Portmann was last updated on March 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 December 29, 2006PECOS EnrolledAccepts Medicare Assignment

8TH AVE C ST, SALT LAKE CITY, UT 84143(801) 408-1100 Get Directions Write a Review

NPPES record last updated: March 18, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lara Cooley Portmann Aprn NPPES

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

LARA COOLEY PORTMANN APRN (NPI 1972669182) is an individual nurse practitioner in Salt Lake City, Utah, licensed in Utah (4942578-4405) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Intermountain Medical Center, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1972669182

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameLARA COOLEY PORTMANNCredential: APRN

Location Address8TH AVE C STSalt Lake City, UT 84143-0001

Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128 · (801) 408-1100

Phone(801) 408-1100

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateDecember 29, 2006

Last NPPES UpdateMarch 18, 2008

✔ NPI 1972669182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in UT · 4942578-4405

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.

8TH AVE C ST, Salt Lake City, UT 84143

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

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

Lara Cooley Portmann Aprn 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 ID4183720121

PECOS Enrollment IDI20070508000146

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

36 services29 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

15 services14 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

12 services12 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Intermountain Medical Center

Acute Care Hospitals · Murray, UT

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460010

Location5121 South Cottonwood StreetMurray, UT 84107 · Salt Lake County

Emergency services Birthing friendly

Intermountain Health Alta View Hospital

Acute Care Hospitals · Sandy, UT

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460044

Location9660 South 1300 EastSandy, UT 84094 · Salt Lake County

Emergency services Birthing friendly

Park City Hospital

Acute Care Hospitals · Park City, UT

5/5 CMS rating

OwnershipProprietary

CMS Certification Number460057

Location900 Round Valley DrivePark City, UT 84060 · Summit County

Emergency services Birthing friendly

Riverton Hospital

Acute Care Hospitals · Riverton, UT

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460058

Location3741 West 12600 SouthRiverton, UT 84065 · Salt Lake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84143 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.

MARJORY A BRAVARD M.D.

Hospitalist