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MR. KRAIG LYNN PACKER NPC NPI 1518959535


NPI Information

NPI: 1518959535
Provider Name: MR. KRAIG LYNN PACKER, NPC
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Organization: SENIOR HEALTH LLC

PECOS Registration: Yes

Address:
3339 CHEROKEE LN
PROVO, UT
ZIP 84604
Phone: (801) 803-0877
Get Directions

MR. Kraig Lynn Packer, NPC is an adult health nurse practitioner in Provo, UT with 21 years of experience. MR. Kraig Lynn Packer, NPC NPI is 1518959535. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3339 CHEROKEE LN
PROVO, UT
ZIP 84604-866
Phone: (801) 803-0877

The NPI 1518959535 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report (HCPCS:93280)
  • Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • Evaluation, testing and programming adjustment of defibrillator with analysis, review and report (HCPCS:93283)

The enumeration date for this NPI number is 8/16/2005 and was last updated on 9/9/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363L00000XNurse Practitioner261539-4405UTAHNo
2363L00000XNurse Practitioner115014COLORADONo
3363LA2200XNurse PractitionerAdult Health261539-4405UTAHYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
150634879MEDICAIDCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.