Dallin Richard Kilpack, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

9114166-4405 Issued in UT

Practice address

537 W 500 S
Manti, UT 84642-5508

Phone

(385) 296-8427

NPI assigned

Dec 21, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Valley Medical CenterGroup PAC ID 2668380460, 25 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Central Valley Home Health Home health agency, Nephi, UT, CCN 467034
• Central Valley Medical Center - Cah Hospital, Nephi, UT, CCN 461304

Merit-based Incentive Payment System (MIPS)

Final score

81.28 of 100Reported as group

Quality

63.71

Promoting interoperability

98

Improvement activities

40

Cost

75.57

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Central Valley Medical Center

  • Critical Access Hospital
  • Nephi, UT
  • NPI 1881658110

  UT

  Medicare reassignment Care Compare group NPD
• Central Valley Medical Center

  • Family Medicine Physician
  • Nephi, UT
  • NPI 1992724975

  Family Medicine, UT

  Medicare reassignment Care Compare group NPD
• Central Valley Medical Center

  • Home Health Agency
  • Nephi, UT
  • NPI 1104978790
  Care Compare group
• Central Valley Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Nephi, UT
  • NPI 1851416838
  Care Compare group
• Central Valley Medical Center

  • Community Based Hospice Care Agency
  • Nephi, UT
  • NPI 1952452658
  Care Compare group
• Central Valley Medical Center Pharmacy

  • Pharmacist
  • Nephi, UT
  • NPI 1366552267
  NPD (past)

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

• Central Valley Medical Center

  • Home Health Agency
  • Nephi, UT
  • NPI 1104978790
  Care Compare affiliation
• Central Valley Medical Center

  • Critical Access Hospital
  • Nephi, UT
  • NPI 1881658110

  Hospital

  Care Compare affiliation
• Central Valley Medical Center

  • Family Medicine Physician
  • Nephi, UT
  • NPI 1992724975

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1640044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1992465637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "537 W 500 S",
            "city": "MANTI",
            "state": "UT",
            "postal_code": "846425508",
            "telephone_number": "385-296-8427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 W 500 S",
            "city": "MANTI",
            "state": "UT",
            "postal_code": "846425508",
            "telephone_number": "385-296-8427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILPACK",
        "first_name": "DALLIN",
        "middle_name": "RICHARD",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-21",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "9114166-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jamie Ann Kirkham
• Demetrius Leota
• Madolyn Liebing, M.F.T, PSYCHOLOGIST
• Corbin Linam

• All providers in Manti, UT
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.