Kerry Lea Sackman, NP - Medicare Nurse Practitioner in Salt Lake City, UT

Kerry Lea Sackman, NP is a medicare enrolled "Nurse Practitioner" in Salt Lake City, Utah. She graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Intermountain Healthcare Services, Inc and her current practice location is 2000 S 900 E, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 464-7852.

Kerry Lea Sackman is licensed to practice in Utah (license number 13280360-4405) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1326352840.

Contact Information

Kerry Lea Sackman, NP
2000 S 900 E,
Salt Lake City, UT 84105-3208
(801) 464-7852
Not Available

Map and Direction




Provider's Profile

Full NameKerry Lea Sackman
GenderFemale
SpecialityNurse Practitioner
Experience14 Years
Location2000 S 900 E, Salt Lake City, Utah
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kerry Lea Sackman graduated from nursing school in 2010
  NPI Data:
  • NPI Number: 1326352840
  • Provider Enumeration Date: 07/27/2010
  • Last Update Date: 06/16/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0244356129
  • Enrollment ID: I20230628001963

Medical Identifiers

Medical identifiers for Kerry Lea Sackman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326352840NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner R35043 (North Dakota)Secondary
363LF0000XNurse Practitioner - Family R168818-8 (Minnesota)Secondary
363L00000XNurse Practitioner 13280360-4405 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Intermountain Medical CenterMurray, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Intermountain Healthcare Services, Inc18502094203228

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kerry Lea Sackman allows following entities to bill medicare on her behalf.
Entity NameIhc Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942325154
PECOS PAC ID: 1850209420
Enrollment ID: O20080610000303

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kerry Lea Sackman is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kerry Lea Sackman, NP
Po Box 27128,
Salt Lake City, UT 84127-0128

Ph: (801) 464-7852
Kerry Lea Sackman, NP
2000 S 900 E,
Salt Lake City, UT 84105-3208

Ph: (801) 464-7852

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.