PEGGY ANNE JEROME (APRN) – Adult Health Nurse Practitioner, NPI 1013001247
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,655 NURSE PRACTITIONER in UT
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Provider Addresses for PEGGY ANNE JEROME (APRN)
Cliff Side Court, Sandy, Salt Lake County, Utah, 84090, United States
209
SANDY, UT 840940798
Phone: (801) 563-0708
Fax: (801) 566-5939
Type: Mailing
8537, Redwood Road, West Jordan, Salt Lake County, Utah, 84088, United States
SUITE A - MAIN LEVEL
WEST JORDAN, UT 840889311
Phone: (801) 568-2898
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $354.
Total Amount is formed as General ($354) + Research ($0) + Ownership ($0) = $354.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($192).
Total Amount
$354
General + Research + Ownership
Payments
12
Total payment records
General Amount
$354
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $192 |
| Otsuka America Pharmaceutical, Inc. | $148 |
| Corium, LLC | $15 |
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: 2005-08-19
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 |
|---|---|---|---|---|
| I20050819000230 | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 29 | 14 | $0 |
Insurance plans in this area (ZIP 84094)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | UT | |
| - | UT | |
| Clinical Social Worker | UT | |
| Nurse Practitioner | UT | |
| Clinical Social Worker | UT | |
| Nurse Practitioner | UT | |
| Clinical Social Worker | UT | |
| Nurse Practitioner | UT | |
| - | UT | |
| Clinical Social Worker | UT |
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