Individual provider Active NPI

Rylee Colleen Prokopis, DNP

  • Nurse Practitioner
  • Stansbury Park, UT
National Provider Identifier
1104715259
Registry record updated Jul 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
10395765-8900 Issued in UT
Practice address
292 E Briarwood LN
Stansbury Park, UT 84074-8298
Phone
(801) 441-8862
NPI assigned
Jul 2, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 10395765-8900 UT Primary

Addresses

Primary practice location

292 E Briarwood LN
Stansbury Park, UT 84074-8298

Mailing address

292 E Briarwood LN
Stansbury Park, UT 84074-8298
Phone (801) 441-8862

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251002004161 UT Practitioner - Nurse Practitioner 7719483270 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Amazing Medical Associates IncGroup PAC ID 5991606329, 24 clinicians

Practice addresses (Care Compare)

434 W Ascension Way
Suite 225
Murray, UT 84123-2985
Phone (801) 716-7008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
10395765-8900UTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Amazing Medical Associates, Inc CurrentSince Jul 20, 2025 Accepting new patients

Locations

434 W Ascension Way
Ste 225
Salt Lake City, UT 84123
Phone (801) 716-7008

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1751414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753574400000",
    "number": "1104715259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292 E BRIARWOOD LN",
            "city": "STANSBURY PARK",
            "state": "UT",
            "postal_code": "840748298",
            "telephone_number": "801-441-8862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 E BRIARWOOD LN",
            "city": "STANSBURY PARK",
            "state": "UT",
            "postal_code": "840748298",
            "telephone_number": "801-441-8862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROKOPIS",
        "first_name": "RYLEE",
        "middle_name": "COLLEEN",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-02",
        "last_updated": "2025-07-27",
        "certification_date": "2025-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "10395765-8900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stansbury Park, UT

Sources for this page

Verify at the official NPI Registry.