MRS. ANDREA MARIE BARTHOLOMEW – Family Nurse Practitioner, NPI 1609572221
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,655 NURSE PRACTITIONER in UT
Provider Addresses for MRS. ANDREA MARIE BARTHOLOMEW
PO BOX 405714
ATLANTA, GA 303845714
Phone:
Type: Mailing
5405 S 500 E STE 100
OGDEN, UT 844056957
Phone: (801) 475-7966
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 58 Open Payments records for all available years, with a total value of $1,346.
Total Amount is formed as General ($1,346) + Research ($0) + Ownership ($0) = $1,346.
Last reported payment date: 2024-12-30 • Largest payer in this snapshot: ABBVIE INC. ($172).
Total Amount
$1,346
General + Research + Ownership
Payments
58
Total payment records
General Amount
$1,346
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $172 |
| Amgen Inc. | $155 |
| Phathom Pharmaceuticals, Inc. | $131 |
| GlaxoSmithKline, LLC. | $122 |
| Lilly USA, LLC | $121 |
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: 2023-08-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230823001624 | I | Nurse Practitioner | UT | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 16 | 15 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 14 | 12 | $0 |
Insurance plans in this area (ZIP 30384)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | UT | |
| - | GA | |
| Family Practice, Addiction Medicine, Preventive Medicine | UT | |
| Internal Medicine | GA | |
| Nurse Practitioner | UT |
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