CHANTEE I WYATT (PA-C) – Family Medicine Physician, NPI 1104135326
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,531 PHYSICIAN ASSISTANT in ID
Provider Addresses for CHANTEE I WYATT (PA-C)
44 N 1ST E
PRESTON, ID 832631326
Phone: (208) 852-3660
Fax: (208) 852-1295
Type: Mailing
47 N 1ST E
PRESTON, ID 83263
Phone: (208) 852-2900
Fax: (208) 852-3511
Type: Location
1451 N 200 E
SUITE #250
LOGAN, UT 84341
Phone: (435) 363-7853
Fax: (435) 799-3598
Type: Mailing
1451 N 200 E SUITE #250
LOGAN, UT 84341
Phone: (435) 363-7853
Fax: (435) 799-3598
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 28 Open Payments records for all available years, with a total value of $492.
Total Amount is formed as General ($492) + Research ($0) + Ownership ($0) = $492.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: ABBVIE INC. ($339).
Total Amount
$492
General + Research + Ownership
Payments
28
Total payment records
General Amount
$492
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2014-10-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20110107001041 | I | Physician Assistant | UT | TBD |
| I20141017002312 | I | Physician Assistant | ID | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 83263)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | UT |
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