Kimberly Kae Weggemann Holder, FNP - Medicare Nurse Practitioner in Slc, UT

Kimberly Kae Weggemann Holder, FNP is a medicare enrolled "Nurse Practitioner - Family" in Slc, 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 Gessner Peterson House Calls Inc and her current practice location is 3018 E 3300 S, Slc, 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,
Slc, UT 84109-2144
(801) 419-0705
Not Available

Map and Direction




Provider's Profile

Full NameKimberly Kae Weggemann Holder
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location3018 E 3300 S, Slc, 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:
  • Kimberly Kae Weggemann Holder graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1124674460
  • Provider Enumeration Date: 08/13/2019
  • Last Update Date: 08/13/2019
  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.
IdentifierTypeStateIssuer
1124674460NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 5039306-4405 (Utah)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Gessner Peterson House Calls Inc68002203854

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 NameLife Spring Pain Management, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699115188
PECOS PAC ID: 2567697931
Enrollment ID: O20131023002412
Entity NameIntegrated Functional Medicine
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629407697
PECOS PAC ID: 4789814351
Enrollment ID: O20140226001532
Entity NameGessner Peterson House Calls Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982246047
PECOS PAC ID: 6800220385
Enrollment ID: O20191217001943

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 AddressPractice Location Address
Kimberly Kae Weggemann Holder, FNP
1002 Manchester Rd,
Kaysville, UT 84037-1320

Ph: () -
Kimberly Kae Weggemann Holder, FNP
3018 E 3300 S,
Slc, UT 84109-2144

Ph: (801) 419-0705

Reviews and Comments


Nurse Practitioner Nurses in Slc, UT

Katie Stokes, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1140 E 3900 S Ste 340, Slc, UT 84124
Phone: 801-268-7479    Fax: 801-268-7622
Jessica Nielsen, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 81 N Mario Capecchi Dr, Slc, UT 84113
Phone: 801-587-2042    
Ms. Annette Smith Harman, PNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 100 North Medical Dr., Slc, UT 84113
Phone: 801-662-1200    
Freida Johnson-allen, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4568 Highland Dr, Suite 290, Slc, UT 84117
Phone: 801-274-6127    Fax: 801-274-6129
Brent Lee Thompson, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 441 S Redwood Rd, Slc, UT 84104
Phone: 801-973-2588    Fax: 801-973-6985
Julia Christine Thomas, DNP, APRN, NNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 100 N Mario Capecchi Dr, Slc, UT 84113
Phone: 801-662-4100    
Mckenzie Blatt, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 50 N Medical Dr, Slc, UT 84132
Phone: 801-581-2747    

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.