Justin Illum
NPI 1265174452 · Family Nurse Practitioner · Midvale, UT
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Justin Illum is a Family Nurse Practitioner provider in Midvale, UT (NPI 1265174452).
Provider details
- NPI number
- 1265174452
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
4 yrs in NPPES registry
- Profile completeness28% of score
83% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
149 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 69 | $96 |
| Prolonged Hospital Inpatient Or Observation Care Evaluation and Management Service(s) Beyond the Total Time for the Primary Service (when the Primary Service Has Been Selected Using Time on the Date of the Primary Service); Each Additional 15 Minutes By ThG0316 | 32 | $24 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 24 | $140 |
| Advance Care Planning, First 30 Minutes99497 | 24 | $61 |
Typical Medicare-allowed amounts for these services range $24–$140 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-04-08
- Last updated
- 2024-12-08
- Certified
- 2024-12-08
Frequently asked questions
- What is Justin Illum's NPI number?
- Justin Illum's National Provider Identifier (NPI) is 1265174452, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Justin Illum's specialty?
- Justin Illum is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Justin Illum located?
- Justin Illum's practice location on file with NPPES is 971 E Creekhill Ln Apt 10, Midvale, UT 84047-2365.
- What is Justin Illum's phone number?
- The practice phone number listed in the NPPES registry for Justin Illum is (417) 693-3850.
- Does Justin Illum accept Medicare?
- Justin Illum is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Justin Illum's NPI active?
- Yes — Justin Illum's NPI (1265174452) is active in the NPPES registry as of the last update on 2024-12-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.