Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1750467155 Individual Practitioner Female Practitioner

Kellie Daugharty Lewis , APRN

Nurse Practitioner • Sandy, UT

Professional Overview & Biography Verified Profile Summary

Kellie Daugharty Lewis, APRN is a registered healthcare professional specializing in Nurse Practitioner in Sandy, UT. Practice services are available at 39 WANDERWOOD WAY under active NPI credentials.

Frequently performed procedures and clinical services include subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, implantation of peripheral nerve neurostimulator electrodes, accessed through the skin, subsequent nursing facility care with high level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

39 Wanderwood Way

Sandy, UT 840924866

Telephone 8015618398
Fax 8013020645
Associated Practice Facility / Clinic
🏢 Kdm Health Services, Inc. Facility NPI 1538481080

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Sandy, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.1 Yrs
State Avg: 8.4 Yrs
Regional Practice Density
26 Specialists

Practicing in Sandy, UT (1143 Statewide)

Telehealth Adoption Rate
11.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
40.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
12 12 $145.00 $86.48

Medical Specialties & State Licenses

CMS Verified: 2022-02-14
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License UT 322464-4405

(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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1750467155 (UT)

Practice Associates & Co-Workers

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

1 Associated Practitioners
Brett Alexander , NP-C

Nurse Practitioner - Family

NPI 1902112113

Nurse Practitioner (Certified)

Career & Practice History Timeline

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

8 Historical Events
👤
Provider Name / Credentials Updated February 14, 2022

Recorded as KELLIE DAUGHARTY LEWIS, APRN

📍
Updated Practice Location January 11, 2021

Registered at 39 WANDERWOOD WAY, SANDY, UT 840924866 (Tel: 8015618398)

NPI Profile Active November 17, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location November 17, 2009

Registered at 11383 S PORTABELLO RD, SOUTH JORDAN, UT 84095 (Tel: 8015618398)

📍
Updated Business Mailing Address November 17, 2009

Registered at PO BOX 1009, RIVERTON, UT 840651009 (Tel: 8015618398)

👤
Provider Name / Credentials Updated November 17, 2009

Recorded as KELLIE MCFALL, APRN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 17, 2009

Nurse Practitioner (License #322464-4405 in UT)

🟢
Initial NPI Registration & Enumeration October 27, 2006

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: 1750467155
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 27, 2006
Last Update: February 14, 2022
Sole Proprietor: Yes

Mailing Address

Po Box 1009

Riverton, UT 840651009

Phone: 8015618398

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.