Individual provider Active NPI

Jeffry K Kupfer, CRNA

  • Certified Registered Nurse Anesthetist
  • Lehi, UT
National Provider Identifier
1104203249
Registry record updated Aug 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
7640423-4406 Issued in UT
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

Updated by the provider on Aug 15, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, IN3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20151229002570 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2769784255 Reassigns benefits to 3 organizations
I20160811002819 UT Practitioner - Certified Registered Nurse Anesthetist (Crna) 2769784255 Reassigns benefits to 6 organizations
I20240420000068 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 2769784255 Reassigns benefits to 2 organizations

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
Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians
NPH Anesthesia of Utah LLCGroup PAC ID 9537584313, 91 clinicians
Redreef Anesthesia Associates Chartered Indiana LLCGroup PAC ID 7012459647, 36 clinicians
Western Anesthesia Associates LLCGroup PAC ID 3274590856, 17 clinicians
Utah Gastroenterology LLCGroup PAC ID 9830174150, 71 clinicians

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

LicenseStateTypeSpecialty
95000384CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Western Anesthesia Associates LLC CurrentSince Sep 1, 2016 Accepting new patients
Regional Anesthesia Associates Inc CurrentSince Nov 1, 2022 Accepting new patients
Utah Gastroenterology LLC Current Accepting new patients
Redreef Anesthesia Associates Chartered Indiana LLC CurrentSince Apr 25, 2024 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 17, 2024 Accepting new patients
NPH Anesthesia of Utah, LLC CurrentSince Aug 1, 2024 Accepting new patients
Valley Regional Anesthesia Associates Inc CurrentSince Dec 31, 2022 Accepting new patients
HP Anesthesia Inc Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2023 Accepting new patients
Utah Gastroenterology LLC Current Accepting new patients
Brigham Anesthesia, LLC CurrentSince Sep 1, 2018 Accepting new patients
Utah Gastroenterology LLC CurrentSince Jan 1, 2025 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.

View all 14

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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.

Verify at the official NPI Registry.