Louisa Charlene Tali, in Salt Lake City, UT - Medicare Nurse Practitioner

Louisa Charlene Tali, is a medicare enrolled "Nurse Practitioner" in Salt Lake City, Utah. She graduated from nursing school in 2023 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Exodus Healthcare Network Pllc and her current practice location is 1250 E 3900 S, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 265-2000.

Louisa Charlene Tali is licensed to practice in Utah (license number 9839575-4405) 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 1295476125.

Contact Information

	Louisa Charlene Tali,
	1250 E 3900 S, Salt Lake City, UT 84124-1348
	(801) 265-2000
	(801) 265-2008

Map and Direction

Provider's Profile

Full Name	Louisa Charlene Tali
Gender	Female
Speciality	Nurse Practitioner
Experience	3 Years
Location	1250 E 3900 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:

Louisa Charlene Tali graduated from nursing school in 2023

NPI Data:

NPI Number: 1295476125
Provider Enumeration Date: 04/05/2022
Last Update Date: 01/14/2026

Medicare PECOS Information:

PECOS PAC ID: 3476909177
Enrollment ID: I20231101002694

Medical Identifiers

Medical identifiers for Louisa Charlene Tali such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295476125	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	9839575-4405 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Jordan Valley Medical Center	West jordan, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Exodus Healthcare Network Pllc	1456265057	27

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. Louisa Charlene Tali allows following entities to bill medicare on her behalf.

Entity Name	Exodus Healthcare Network Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306952783 PECOS PAC ID: 1456265057 Enrollment ID: O20031118000408

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. Louisa Charlene Tali 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
Louisa Charlene Tali, 1250 E 3900 S, Salt Lake City, UT 84124-1348 Ph: (801) 265-2000	Louisa Charlene Tali, 1250 E 3900 S, Salt Lake City, UT 84124-1348 Ph: (801) 265-2000

Reviews and Comments

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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

Louisa Charlene Tali, - Medicare Nurse Practitioner in Salt Lake City, UT