Active NPI
Jeffry K Kupfer, CRNA
- Certified Registered Nurse Anesthetist
- Lehi, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 7640423-4406
- Practice address
- 3000 N Triumph Blvd
Lehi, UT 84043 - Phone
- (385) 345-3000
- Fax
- (770) 701-6676
- NPI assigned
- Apr 28, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95000384 | CA | |
| Certified Registered Nurse Anesthetist | 367500000X | 95000384 | CA | |
| Certified Registered Nurse Anesthetist | 367500000X | 7640423-4406 | UT | Primary |
Addresses
Primary practice location
3000 N Triumph Blvd
Lehi, UT 84043
Mailing address
1682 Temple CT
Bountiful, UT 84010-1508
Phone (435) 559-1387
Other practice location 1
11660 Church St Apt 178
Rancho Cucamonga, CA 91730-8928
Phone (435) 559-1387
Other practice location 2
6360 S 3000 E Ste 310
Salt Lake City, UT 84121-6939
Phone (801) 944-3144
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, UT, IN
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4411 Washington Ave
Suite 100
Evansville, IN 47714-0805
Phone (313) 637-9861
5475 S 500
Ogden, UT 84405-6905
Phone (469) 998-7443
600 Grant St
Gary, IN 46402-6001
Phone (888) 851-4642
630 Medical Dr
Bountiful, UT 84010-4908
Phone (801) 299-2160
6360 S 3000
Suite 310
Salt Lake City, UT 84121-6939
Phone (801) 944-3188
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95000384 | CA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Anesthesia Associates LLC | Current | Accepting new patients | |
| Regional Anesthesia Associates Inc | Current | Accepting new patients | |
| Utah Gastroenterology LLC | Current | Accepting new patients | |
| Redreef Anesthesia Associates Chartered Indiana LLC | Current | Accepting new patients | |
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| NPH Anesthesia of Utah, LLC | Current | Accepting new patients | |
| Valley Regional Anesthesia Associates Inc | Current | Accepting new patients | |
| HP Anesthesia Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Utah Gastroenterology LLC | Current | Accepting new patients | |
| Brigham Anesthesia, LLC | Current | Accepting new patients | |
| Utah Gastroenterology LLC | Current | Accepting new patients | |
| Utah Pain Management PC | Past | Accepting new patients |
Locations
9300 Stockdale Hwy
Ste 200
Bakersfield, CA 93311
Phone (661) 663-3700
1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000
1300 N Vermont Ave
Los Angeles, CA 90027
Phone (213) 413-3000
465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886
11051 Broadway
Ste B
Crown Point, IN 46307
Phone (219) 308-0193
4411 Washington Ave
Ste 100
Evansville, IN 47714
Phone (313) 637-9861
8701 Broadway
Merrillville, IN 46410
Phone (219) 738-4926
2221 Lakeside Blvd
Ste 600
Richardson, TX 75082
Phone (469) 998-7450
620 Medical Dr
Ste 205
Bountiful, UT 84010
Phone (801) 298-0057
3000 N Triumph Blvd
Lehi, UT 84043
Phone (385) 345-3000
630 Medical Dr
North Salt Lake, UT 84010
Phone (801) 292-6231
6360 S 3000 E
Ste 310
Salt Lake Cty, UT 84121
Phone (801) 944-3144
1187 E 3900 S
Salt Lake Cty, UT 84124
Phone (801) 263-3041
5475 S 500 E
South Ogden, UT 84405
Phone (801) 479-2111
368 E Riverside Dr
Ste A
St George, UT 84790
Phone (435) 673-1149
3580 W 90th S
West Jordan, UT 84088
Phone (801) 263-0810
Organizations & group practices 14
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Ogden, UT
- NPI 1366077273
-
- Gastroenterology Physician
- Salt Lake City, UT
- NPI 1871689562
-
- Anesthesiology Physician
- Bountiful, UT
- NPI 1174566277
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
IN, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Gary, IN
- NPI 1215783766
-
- Anesthesiology Physician
- Brigham City, UT
- NPI 1710904800
-
- Anesthesiology Physician
- Los Angeles, CA
- NPI 1992133474
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Bakersfield, CA
- NPI 1811442874
-
- Anesthesiology Physician
- Fresno, CA
- NPI 1578272415
-
- Anesthesiology Physician
- West Jordan, UT
- NPI 1205865029
-
- Gastroenterology Physician
- Bountiful, UT
- NPI 1457393761
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Jordan, UT
- NPI 1801591391
-
- General Acute Care Hospital
- Gary, IN
- NPI 1467504555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534291200000",
"number": "1104203249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1682 TEMPLE CT",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840101508",
"telephone_number": "435-559-1387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 N TRIUMPH BLVD",
"city": "LEHI",
"state": "UT",
"postal_code": "84043",
"telephone_number": "385-345-3000",
"fax_number": "770-701-6676"
}
],
"practiceLocations": [
{
"address_1": "11660 Church St Apt 178",
"address_purpose": "LOCATION",
"city": "Rancho Cucamonga",
"state": "CA",
"postal_code": "917308928",
"country_code": "US",
"telephone_number": "435-559-1387",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6360 S 3000 E Ste 310",
"address_purpose": "LOCATION",
"city": "Salt Lake City",
"state": "UT",
"postal_code": "841216939",
"country_code": "US",
"telephone_number": "801-944-3144",
"fax_number": "801-944-3186",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KUPFER",
"first_name": "JEFFRY",
"middle_name": "K",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-28",
"last_updated": "2018-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95000384",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "95000384",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "UT",
"license": "7640423-4406",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lehi, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.