NATALIE ADAIR CISNEY (PA) – Physician Assistant, NPI 1083371702

NATALIE ADAIR CISNEY (PA) is a healthcare provider. based in Salt lake city, Utah. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 12468399-1206 (UT). The NPI Number for NATALIE ADAIR CISNEY (PA) is 1083371702

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
NATALIE ADAIR CISNEY (PA)
NPI
1083371702
Phone
(801) 428-3500
Address
743 E 300 S
Enumeration Date
17 November 2021
Last Update Date
5 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8013648080
Graduation Year
2021 (5 years ago)
PAC ID
2668862392
Group Practice PAC ID
4082669825
Professional Enrollment ID
I20220110000237
Address ID
UT841023441SA667XX700X300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

1,972 PHYSICIAN ASSISTANT in UT

Provider Addresses for NATALIE ADAIR CISNEY (PA)

  • 743 E 300 S

    SALT LAKE CITY, UT 84102

    Phone: (801) 428-3500

    Type: Mailing

  • 3336 S PIONEER PKWY STE 302

    WEST VALLEY CITY, UT 841202074

    Phone: (801) 964-8726

    Type: Mailing

  • 344 E 100 S

    SALT LAKE CITY, UT 841111700

    Phone: (801) 428-4257

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 34 Open Payments records for all available years, with a total value of $635.

Total Amount is formed as General ($635) + Research ($0) + Ownership ($0) = $635.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Gilead Sciences, Inc. ($219).

Total Amount

$635

General + Research + Ownership

Payments

34

Total payment records

General Amount

$635

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2022-01-10

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
I20220110000237IPhysician AssistantUTTBD

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 84102)

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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: 4082669825View full group profile
NameSpecialtyState
Physician AssistantUT
Physician AssistantUT
Physician AssistantUT

Reviews

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Frequently asked questions

How do I look up NATALIE ADAIR CISNEY (PA) by NPI?
Use NPI 1083371702 when you need to reference NATALIE ADAIR CISNEY (PA) in forms, claims, or directories.
Does this profile mean NATALIE ADAIR CISNEY (PA) is currently active?
Yes — NATALIE ADAIR CISNEY (PA) appears active in the national provider directory.
What kind of provider is NATALIE ADAIR CISNEY (PA)?
The page reflects Physician Assistant for NATALIE ADAIR CISNEY (PA). Clinical services aligned with this taxonomy classification.
Does NATALIE ADAIR CISNEY (PA) practice in Utah?
You will see Salt Lake City, Utah on file for NATALIE ADAIR CISNEY (PA) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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