CAMERON DEBUCK (NP) – Nurse Practitioner, NPI 1073375119

CAMERON DEBUCK (NP) is a healthcare provider. based in Salt lake city, Utah. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 11291633-4405 (UT). The NPI Number for CAMERON DEBUCK (NP) is 1073375119

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
CAMERON DEBUCK (NP)
NPI
1073375119
Phone
Not provided
Address
PO BOX 27128
Enumeration Date
24 January 2024
Last Update Date
12 January 2026

Doctor Profile

Medical School Name
VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4356348848
Graduation Year
2023 (3 years ago)
PAC ID
8729425293
Group Practice PAC ID
0446582357
Professional Enrollment ID
I20240509001483
Address ID
UT847703591SA437XXSTXX401

Contacts

Main Contact
https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness95
Years active:2State licenses:1Other names

2,655 NURSE PRACTITIONER in UT

Provider Addresses for CAMERON DEBUCK (NP)

  • PO BOX 27128

    SALT LAKE CITY, UT 841270128

    Phone:

    Type: Mailing

  • 1380 E MEDICAL CENTER DR

    ST GEORGE, UT 847902123

    Phone: (435) 251-4450

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $128.

Total Amount is formed as General ($128) + Research ($0) + Ownership ($0) = $128.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: ABBVIE INC. ($37).

Total Amount

$128

General + Research + Ownership

Payments

7

Total payment records

General Amount

$128

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

View all Open Payments →|Open Payments Risk Radar →

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: 2024-05-09

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240509001483INurse PractitionerUTTBD

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.

Verify on CMS Revalidation Lookup Tool

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 84127)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0446582357View full group profile
NameSpecialtyState
Clinical Social WorkerUT
Nurse PractitionerUT
Marriage And Family TherapistUT
Clinical Social WorkerUT
Nurse PractitionerUT
Clinical Social WorkerUT
Nurse PractitionerUT

Reviews

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Frequently asked questions

What is the 10-digit NPI for CAMERON DEBUCK (NP)?
CAMERON DEBUCK (NP) — NPI 1073375119 — is the standard way to identify this listing.
Does CMS list CAMERON DEBUCK (NP) as active?
Yes — CAMERON DEBUCK (NP) is active in the NPI listing used on this page.
What is CAMERON DEBUCK (NP)'s specialty?
The listing groups CAMERON DEBUCK (NP) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for CAMERON DEBUCK (NP)?
CAMERON DEBUCK (NP)'s geographic hint is Salt Lake City, Utah in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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