Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kacie Lofgran, FNP

Individual provider Family Nurse Practitioner · NPI 1710420617

Kacie Lofgran, FNP is a Nurse Practitioner in Salt Lake City, Utah. Qualified in 2016, 10 years ago. Practices with Canyon Medical Group LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
10
Licensed in
UT
In the registry since
2016
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1250 E 3900 S Ste 260
Salt Lake City, UT 84124-1371
Phone: (801) 265-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 6998915-4405 (UT)

Record details

NPI number1710420617
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedNovember 23, 2016
Last updated in NPPESDecember 19, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Canyon Medical Group Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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