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Active NPI 1861044604 Individual Practitioner Female Practitioner

Dr. Kendra Staheli , DNP, PMHNP-BC

Nurse Practitioner • Provo, UT

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Kendra Staheli, DNP, PMHNP-BC is a certified Nurse Practitioner practicing in Provo, UT. With approximately 7 years of clinical experience since completing medical education in 2019, Dr. Staheli delivers high-quality medical care to the local community at 395 W BULLDOG BLVD STE 601.

Dr. Staheli is affiliated with Ihc Health Services Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, psychiatric diagnostic evaluation with medical services. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

395 W Bulldog Blvd Ste 601

Provo, UT 846043331

Telephone 8013577525
Fax 8013577746
Associated Practice Facility / Clinic
🏢 Ihc Health Services Inc Facility NPI 1871847434

Medicare Profile & Education

Medical School

Other

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Provo, UT

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs -2.2 yrs vs City Avg
City Avg: 9.2 Yrs
State Avg: 8.4 Yrs
Regional Practice Density
99 Specialists

Practicing in Provo, UT (1143 Statewide)

Telehealth Adoption Rate
31.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
65.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Staheli (7 Years) 7 Yrs
Provo Specialty Average (9.2 Years) 9.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
97 40 $289.00 $103.46
90792 Psychiatric diagnostic evaluation with medical services
17 17 $443.00 $151.02

Medical Specialties & State Licenses

CMS Verified: 2021-09-29
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License UT 8632096-4405

(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.

Nurse Practitioner - Psychiatric/Mental Health

NUCC Taxonomy Code: 363LP0808X

State License UT 8632096-4405

Definition to come...

Nurse Practitioner - Psychiatric/Mental Health

NUCC Taxonomy Code: 363LP0808X

State License UT 8632096-8900

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
PENDING (UT)

Hospital & Practice Group Affiliations

Ihc Health Services Inc

395 W Bulldog Blvd, Provo, UT 84604

Phone: 8013574141

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

20 Associated Practitioners
Cheryl Cozzens , LCSW

Social Worker - Clinical

NPI 1033136460

Licensed Clinical Social Worker

Dr. Aaron Sanders , DO

Psychiatry & Neurology - Psychiatry

NPI 1043779036

Doctor of Osteopathic Medicine (D.O.)

Newton Bryson , LCSW

Social Worker - Clinical

NPI 1063439495

Licensed Clinical Social Worker

Dr. Matthew Torbenson , MD

Psychiatry & Neurology - Psychiatry

NPI 1104455724

Doctor of Medicine (M.D.)

Matthew Swenson

Psychiatry & Neurology - Psychiatry

NPI 1134355001
Wendy Johnson , APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1245422617

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 29, 2021

Nurse Practitioner (License #8632096-4405 in UT)

📍
Updated Business Mailing Address August 31, 2020

Registered at 395 W COUGAR BLVD STE 601, PROVO, UT 846043331 (Tel: 8013577525)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 31, 2020

Nurse Practitioner (License #8632096-4405 in UT)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 28, 2019

Nurse Practitioner (License #8632096-8900 in UT)

NPI Profile Active July 11, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location July 11, 2019

Registered at 395 W BULLDOG BLVD STE 601, PROVO, UT 846043331 (Tel: 8013577525)

📍
Updated Business Mailing Address July 11, 2019

Registered at 832 W 1450 S, SPRINGVILLE, UT 846634709 (Tel: 8016024450)

👤
Provider Name / Credentials Updated July 11, 2019

Recorded as KENDRA STAHELI, DNP, PMHNP-BC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2019

Nurse Practitioner (License #8632096-4405 in UT)

🟢
Initial NPI Registration & Enumeration July 11, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1861044604
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 11, 2019
Last Update: September 29, 2021
Sole Proprietor: No

Mailing Address

395 W Cougar Blvd Ste 601

Provo, UT 846043331

Phone: 8013577525

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.