Kevin Dale Newbold, - Medicare Nurse Practitioner in Ogden, UT

Kevin Dale Newbold, is a medicare enrolled "Nurse Practitioner - Family" in Ogden, Utah. He graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Mountain Orthopaedics Llc and his current practice location is 3895 Harrison Blvd, Ogden, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 387-7678.

Kevin Dale Newbold is licensed to practice in Utah (license number 8984745-4405) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1366917577.

Contact Information

Kevin Dale Newbold,
3895 Harrison Blvd,
Ogden, UT 84403-2312
(801) 387-7678
(801) 387-8538

Map and Direction




Provider's Profile

Full NameKevin Dale Newbold
GenderMale
SpecialityNurse Practitioner
Experience6 Years
Location3895 Harrison Blvd, Ogden, Utah
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kevin Dale Newbold graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1366917577
  • Provider Enumeration Date: 10/04/2018
  • Last Update Date: 10/04/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 3476894841
  • Enrollment ID: I20190411002184

Medical Identifiers

Medical identifiers for Kevin Dale Newbold such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366917577NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WR0006XRegistered Nurse - Registered Nurse First Assistant 8984745-4405 (Utah)Secondary
207XX0005XOrthopaedic Surgery - Sports Medicine 8984745-4405 (Utah)Secondary
363L00000XNurse Practitioner 8984745-4405 (Utah)Secondary
363LP2300XNurse Practitioner - Primary Care 8984745-4405 (Utah)Secondary
363LF0000XNurse Practitioner - Family 8984745-4405 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Layton HospitalLayton, UTHospital
Lakeview HospitalBountiful, UTHospital
Davis Hospital And Medical CenterLayton, UTHospital
Mckay Dee HospitalOgden, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mountain Orthopaedics Llc711328217924

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. Kevin Dale Newbold allows following entities to bill medicare on his behalf.
Entity NameTravis M Hendry Md Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649866294
PECOS PAC ID: 8426462425
Enrollment ID: O20210203001097
Entity NameMountain Orthopaedics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952019846
PECOS PAC ID: 7113282179
Enrollment ID: O20230324001349

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. Kevin Dale Newbold 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
Kevin Dale Newbold,
36 S State St,
Salt Lake City, UT 84111-1401

Ph: (801) 442-2000
Kevin Dale Newbold,
3895 Harrison Blvd,
Ogden, UT 84403-2312

Ph: (801) 387-7678

Reviews and Comments


Nurse Practitioner Nurses in Ogden, UT

Trisha B Sears, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4401 Harrison Blvd, Ogden, UT 84403
Phone: 801-866-3714    
Allyx Bowthorpe, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 434 E 5350 S Ste D, Ogden, UT 84405
Phone: 801-827-9100    Fax: 801-827-9110
Justin Robert Haslam, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5740 Crestwood Dr, Ogden, UT 84405
Phone: 801-479-7771    Fax: 801-479-7795
Carrie Hanni,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4403 Harrison Blvd, Ogden, UT 84403
Phone: 801-387-7900    Fax: 801-387-7910
Lacey Kay Gordon, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1355 W 3400 S, Ogden, UT 84401
Phone: 801-387-6150    Fax: 801-399-2572
Maline Johanna Cropper, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1068 Harrop St, Ogden, UT 84404
Phone: 435-760-5797    
Mrs. Victoria Dawn Olvera, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4401 Harrison Blvd, Ogden, UT 84403
Phone: 801-387-2702    

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.