JEFFRY K KUPFER (CRNA) – Certified Registered Nurse Anesthetist, NPI 1104203249

JEFFRY K KUPFER (CRNA) is a healthcare provider. based in Bountiful, Utah. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 95000384 (CA). The NPI Number for JEFFRY K KUPFER (CRNA) is 1104203249

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
JEFFRY K KUPFER (CRNA)
NPI
1104203249
Phone
(435) 559-1387
Address
1682 TEMPLE CT
Enumeration Date
28 April 2015
Last Update Date
15 August 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8012992160
Graduation Year
2015 (11 years ago)
PAC ID
2769784255
Group Practice PAC ID
3274590856
Professional Enrollment ID
I20160811002819
Address ID
UT840104908BO630XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:11State licenses:2Digital endpointsOther names

2,455 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in CA

Provider Addresses for JEFFRY K KUPFER (CRNA)

  • 1682 TEMPLE CT

    BOUNTIFUL, UT 840101508

    Phone: (435) 559-1387

    Type: Mailing

  • 11660 Church St Apt 178

    Rancho Cucamonga, CA 917308928

    Phone: (435) 559-1387

    Type: Location

  • 6360 S 3000 E Ste 310

    Salt Lake City, UT 841216939

    Phone: (801) 944-3144

    Fax: (801) 944-3186

    Type: Location

  • 3000 N TRIUMPH BLVD

    LEHI, UT 84043

    Phone: (385) 345-3000

    Fax: (770) 701-6676

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-04-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151229002570ICertified Registered Nurse Anesthetist (Crna)CATBD
I20160811002819ICertified Registered Nurse Anesthetist (Crna)UTTBD
I20240420000068ICertified Registered Nurse Anesthetist (Crna)INTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2424$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1717$0
View full utilization report →

Insurance plans in this area (ZIP 84010)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3274590856View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YNV
A N E S T H E S I O L O G YUT
A N E S T H E S I O L O G YKY
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YUT
A N E S T H E S I O L O G YUT
A N E S T H E S I O L O G YUT
Certified Registered Nurse Anesthetist (Crna)TX
A N E S T H E S I O L O G YUT

Reviews

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Frequently asked questions

What NPI should I save for JEFFRY K KUPFER (CRNA)?
Save NPI 1104203249 if you need a stable reference for JEFFRY K KUPFER (CRNA).
Is JEFFRY K KUPFER (CRNA) currently active in the NPI registry?
CMS-published data lists JEFFRY K KUPFER (CRNA) as an active registrant.
What field does JEFFRY K KUPFER (CRNA) work in?
You can think of JEFFRY K KUPFER (CRNA) as practicing within Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where does public data place JEFFRY K KUPFER (CRNA)?
The snapshot lists Bountiful, Utah for JEFFRY K KUPFER (CRNA); download NPPES for the complete set.
How can I contact JEFFRY K KUPFER (CRNA)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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