JUN LIN (FNP-C) – Nurse Practitioner, NPI 1053065847
Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
2,655 NURSE PRACTITIONER in UT
Provider Addresses for JUN LIN (FNP-C)
4624 S HOLLADAY BLVD STE 201
HOLLADAY, UT 841177168
Phone:
Type: Mailing
PO BOX 27128
SALT LAKE CITY, UT 841270128
Phone: (801) 266-3113
Type: Mailing
5171 S COTTONWOOD ST
MURRAY, UT 841075704
Phone: (801) 507-9310
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $962.
Total Amount is formed as General ($962) + Research ($0) + Ownership ($0) = $962.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Gilead Sciences, Inc. ($261).
Total Amount
$962
General + Research + Ownership
Payments
9
Total payment records
General Amount
$962
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Gilead Sciences, Inc. | $261 |
| Madrigal Pharmaceuticals | $144 |
| ABBVIE INC. | $125 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | $122 |
| Ardelyx, Inc. | $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: 2022-08-09
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 |
|---|---|---|---|---|
| I20220809000871 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84117)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CO | |
| Nurse Practitioner | NM | |
| Family Practice | NM | |
| Nurse Practitioner | UT | |
| P O D I A T R Y | NM | |
| Family Practice, Pediatric Medicine | UT | |
| Nurse Practitioner | NM | |
| Nurse Practitioner | UT | |
| Nurse Practitioner | NM | |
| P O D I A T R Y | UT |
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