ALEXANDER JOHN KALKE, AGACNP — NPI 1457200735 (Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Acute Care in PARK CITY, UT)

CMS-1500 Box 24J / 33a • NPI

1457200735

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

363LA2100X (CMS 50)

Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Acute Care

Box 32 Service Location & ZIP+4

900 ROUND VALLEY DR STE 100, PARK CITY, UT, 84060-7552

✓ 9-Digit EDI 837 ZIP+4 (84060-7552)

Practice Phone & Referral Fax

(435) 655-6600

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1457200735 (ALEXANDER JOHN KALKE, AGACNP) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1457200735` (NPI-1 Individual Practitioner)
Provider / Legal Name	ALEXANDER JOHN KALKE, AGACNP
Plain-English Specialty	Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Acute Care NUCC Code: `363LA2100X` (Nurse Practitioner, Acute Care)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	900 ROUND VALLEY DR STE 100, PARK CITY, UT, 84060-7552
Practice Telephone / Fax	Tel: (435) 655-6600
Administrative Mailing Address	108 W 350 S, MIDWAY, UT, 84049-6509
Enumeration & Last Sync	Enumerated: 2026-01-28 \| CMS Record Updated: 2026-01-28

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

900 ROUND VALLEY DR STE 100, PARK CITY, UT, 84060-7552

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Plain-English Taxonomy & CMS Crosswalk (363LA2100X)

What Does Taxonomy Code 363LA2100X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LA2100X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Acute Care"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 50 (Nurse Practitioner)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Nurse Practitioner, Acute Care for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ALEXANDER JOHN KALKE, AGACNP)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207X00000X` — Orthopaedic Surgery Plain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)	State: UT \| License: `10668638-4405` \| Primary: Secondary
`363LA2100X` — Nurse Practitioner, Acute Care Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Acute Care	State: UT \| License: `10668638-4405` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ALEXANDER JOHN KALKE, AGACNP (NPI #1457200735)