JEREMY LEGATES (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1073089801
Psychiatric/Mental 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 JEREMY LEGATES (PMHNP-BC)
677, North 2040 East, Spanish Fork, Utah County, Utah, 84660, United States
SPANISH FORK, UT 846606072
Phone: (443) 710-2139
Type: Mailing
South 930 West, Payson, Utah County, Utah, 84641, United States
PAYSON, UT 846513126
Phone: (801) 465-5111
Type: Location
302 WOODSEDGE LN
FELTON, DE 199439542
Phone: (443) 710-2139
Type: Mailing
1305 MCD DR
DOVER, DE 199014699
Phone: (302) 883-2926
Fax: (302) 883-3799
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 43 Open Payments records for all available years, with a total value of $922.
Total Amount is formed as General ($922) + Research ($0) + Ownership ($0) = $922.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Neurocrine BioSciences Inc. ($209).
Total Amount
$922
General + Research + Ownership
Payments
43
Total payment records
General Amount
$922
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
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: 2024-03-05
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 |
|---|---|---|---|---|
| I20240305000110 | I | Nurse Practitioner | DE | 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 84660)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | DE | |
| Nurse Practitioner | DE | |
| - | DE | |
| Marriage And Family Therapist | DE | |
| Clinical Social Worker | DE | |
| - | DE | |
| Nurse Practitioner | MD | |
| Mental Health Counselor | DE | |
| P S Y C H I A T R Y | DE | |
| Certified Clinical Nurse Specialist (Cns) | DE |
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