Kimberly Kae Weggemann Holder, FNP in Salt Lake City, UT

Kimberly Kae Weggemann Holder, FNP is a medicare enrolled "Nurse Practitioner - Family" in Salt Lake City, Utah. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Amble Medical and her current practice location is 3018 E 3300 S, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 419-0705.

Kimberly Kae Weggemann Holder is licensed to practice in Utah (license number 5039306-4405) 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 1124674460.

Contact Information

	Kimberly Kae Weggemann Holder, FNP
	3018 E 3300 S, Salt Lake City, UT 84109-2144
	(801) 419-0705
	Not Available

Map and Direction

Provider's Profile

Full Name	Kimberly Kae Weggemann Holder
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	3018 E 3300 S, Salt Lake City, Utah
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kimberly Kae Weggemann Holder graduated from nursing school in 2019

NPI Data:

NPI Number: 1124674460
Provider Enumeration Date: 08/13/2019
Last Update Date: 05/08/2024

Medicare PECOS Information:

PECOS PAC ID: 0648604066
Enrollment ID: I20200316002767

Medical Identifiers

Medical identifiers for Kimberly Kae Weggemann Holder such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124674460	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	5039306-4405 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Hearts For Home Health	American fork, UT	Home health agency

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Amble Medical	2365821220	7

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. Kimberly Kae Weggemann Holder allows following entities to bill medicare on her behalf.

Entity Name	Valdar Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336619675 PECOS PAC ID: 8123360534 Enrollment ID: O20190506001707

Entity Name	Amble Medical
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134865595 PECOS PAC ID: 2365821220 Enrollment ID: O20220623000525

Entity Name	Virtare Health Physician Services Of Utah Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164286761 PECOS PAC ID: 7719328236 Enrollment ID: O20240515003162

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. Kimberly Kae Weggemann Holder 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 Address	Practice Location Address
Kimberly Kae Weggemann Holder, FNP 10890 Thornmint Rd, San Diego, CA 92127-2402 Ph: () -	Kimberly Kae Weggemann Holder, FNP 3018 E 3300 S, Salt Lake City, UT 84109-2144 Ph: (801) 419-0705

Reviews and Comments

Nurse Practitioner Nurses in Salt Lake City, UT

Mrs. Lisa Ann Runyon, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 N Medical Dr, Trauma Services, Salt Lake City, UT 84113 Phone: 801-662-2993 Fax: 801-662-2999
Madeline Ann Thayer, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 N Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-3600
Emma Fong, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3802 S 700 E, Salt Lake City, UT 84106 Phone: 801-264-6000
Ashlee Brynn Fenton, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1160 E 3900 S Ste G200, Salt Lake City, UT 84124 Phone: 801-268-7766
Donna M. Wahoff-stice, APRN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 615 Arapeen Dr, 100, Salt Lake City, UT 84108 Phone: 801-581-7761
Linda M Lambert, A.P.R.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 N Medical Dr, Salt Lake City, UT 84113 Phone: 801-662-1000
Ms. Ann A. K. Kamp, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 N Medical Dr, Salt Lake City, UT 84113 Phone: 801-662-1000 Fax: 801-662-4166

Kimberly Kae Weggemann Holder, FNP - Medicare Nurse Practitioner in Salt Lake City, UT