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

Lily Rose Fortunato, AGACNP

Individual provider Acute Care Nurse Practitioner · NPI 1881585909

Lily Rose Fortunato, AGACNP is a Nurse Practitioner in Salt Lake City, Utah. Qualified in 2025, 1 year ago. Practices with University of Utah Adult Services, a 1,740-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
1
Licensed in
UT
In the registry since
2025
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Practice location Address checks out

1950 Circle Of Hope Dr
Salt Lake City, UT 84112-5500
Phone: (619) 321-8647
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 11765744-4405 (UT)

Record details

NPI number1881585909
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP
Sole proprietorNo
NPI enumeratedJuly 15, 2025
Last updated in NPPESMarch 9, 2026
Certification dateMarch 9, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice University Of Utah Adult Services — 1740 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Salt Lake City