NPIMap

Individual provider Active NPI

Paige Marie Kimball, FNP-BC

  • Family Nurse Practitioner
  • Lehi, UT
National Provider Identifier
1922380153
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7215609-4405 Issued in UT
Practice address
2901 W Blue Grass Blvd Ste 200-31
Lehi, UT 84043-4188
Phone
(801) 855-6368
Fax
(801) 702-8627
NPI assigned
Sep 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 7215609-4405 UT Primary

Addresses

Primary practice location

2901 W Blue Grass Blvd Ste 200-31
Lehi, UT 84043-4188

Mailing address

2901 W Blue Grass Blvd Ste 200-31
Lehi, UT 84043-4188
Phone (801) 855-6368

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address PKIMBALL609093@DIRECT.MED.UTAH.EDU Direct University of Utah

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141126000717 UT Practitioner - Nurse Practitioner 7113249285 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Precision Home Medical Group PLLCGroup PAC ID 6608255377, 2 clinicians
University of Utah Adult ServicesGroup PAC ID 0941525273, 1,758 clinicians

Practice addresses (Care Compare)

Lehi, UT 84043
Phone (801) 855-6368

50 N Medical Dr
Salt Lake City, UT 84132-0100
Phone (801) 585-6387

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.77 of 100Reported as group
Quality
91.47
Promoting interoperability
100
Improvement activities
40
Cost
74.42

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Utah Regional Hospitalists LLC CurrentSince Jul 18, 2020 Accepting new patients
University of Utah Adult Services CurrentSince Nov 1, 2022 Accepting new patients
University of Utah Adult Services Current Accepting new patients
Utah Regional Hospitalists LLC CurrentSince Jul 18, 2020 Accepting new patients
Emergency Physicians Integrated Care, LLC CurrentSince Oct 1, 2022 Accepting new patients
University of Utah Adult Services CurrentSince Nov 1, 2022 Accepting new patients
Precision Home Medical Group PLLC Family CurrentSince Apr 11, 2022 Accepting new patients
Tooele Clinic Corp CurrentSince Mar 1, 2025 Accepting new patients

Locations

630 Medical Dr
North Salt Lake, UT 84010
Phone (801) 292-6231

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

1950 Circle of Hope Dr
Slc, UT 84112
Phone (801) 585-0100

2321 N 400 E
Ste 300
Tooele, UT 84074
Phone (435) 833-9180

2055 N Main St
Tooele, UT 84074
Phone (435) 843-3600

3580 W 90th S
West Jordan, UT 84088
Phone (801) 263-0810

3460 S Pioneer Pkwy
West Valley City, UT 84120
Phone (801) 964-3111

Interoperability endpoints

  • Direct secure messaging: pkimball@yourcarecommunity.org
  • Direct secure messaging: pkimball615681@direct.med.utah.edu
  • Direct secure messaging: paige.kimball@434420652113922.direct.elationemr.com
  • Direct secure messaging: pkimball609093@direct.med.utah.edu

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Belle Vie Hospice LLCAmerican Fork, UT, CCN 461631 Hospice 5% Or Greater Indirect Ownership Interest (5%)
Corporate Officer
W-2 Managing Employee
Operational/Managerial Control		 Mar 12, 2021
Mar 12, 2021
Mar 12, 2021
Mar 12, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Belle Vie Hospice LLC
    • Community Based Hospice Care Agency
    • American Fork, UT
    • NPI 1720665433

    5% Or Greater Indirect Ownership Interest, Corporate Officer, Operational/Managerial Control, W-2 Managing Employee

    CMS ownership

Organizations & group practices 8

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.

Hospital & facility affiliations 10

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": "1315958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1922380153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 W BLUE GRASS BLVD STE 200-31",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840434188",
            "telephone_number": "801-855-6368",
            "fax_number": "801-702-8627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 W BLUE GRASS BLVD STE 200-31",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840434188",
            "telephone_number": "801-855-6368",
            "fax_number": "801-702-8627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBALL",
        "first_name": "PAIGE",
        "middle_name": "MARIE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-14",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "7215609-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "PKIMBALL609093@DIRECT.MED.UTAH.EDU",
            "affiliation": "Y",
            "affiliationName": "University of Utah",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lehi, UT

Sources for this page

Verify at the official NPI Registry.