CASSIDY WARREN (APRN) – Family Nurse Practitioner, NPI 1093503336

Family Nurse Practitioner

CASSIDY WARREN (APRN) is a healthcare provider. based in Lehi, Utah. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 11794922-4405 (UT). The NPI Number for CASSIDY WARREN (APRN) is 1093503336

Main info

Female

1 Year Of Experience

Accepts Medicare Assignment

Name

CASSIDY WARREN (APRN)

NPI

1093503336

Phone

(801) 796-2678

Address

641 W 1290 N

Enumeration Date

28 April 2025

Last Update Date

17 December 2025

Doctor Profile

Medical School Name

OTHER

Secondary Phone

8017962678

Graduation Year

2025 (1 year ago)

PAC ID

6901319151

Group Practice PAC ID

9638510225

Professional Enrollment ID

I20250701000698

Address ID

UT840432327LE641XX1290300

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience26

Completeness85

Years active:1State licenses:1Digital endpointsOther names

2,655 NURSE PRACTITIONER in UT

Provider Addresses for CASSIDY WARREN (APRN)

641 W 1290 N
LEHI, UT 840432327
Phone: (801) 796-2678
Fax: (801) 877-5583
Type: Mailing
641 WEST 1290 NORTH
LEHI, UT 840432327
Phone: (801) 796-2678
Fax: (801) 877-5583
Type: Location
50 E 9000 S, Ste 1
Aquatic and Rehab Center
Sandy, UT 840702201
Phone: (801) 796-2678
Fax: (801) 877-5583
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-07-01

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

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
I20250701000698	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.

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 84043)

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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: 9638510225View full group profile

Name	Specialty	State
JAMIE ANN ROMNEY (FNP-BC)	Nurse Practitioner	UT
MS. SHYLETTERA DAVIS (NP)	Nurse Practitioner	UT
SHANNON L COMPTON (FNP)	Nurse Practitioner	UT
MICHELLE ELIZABETH PATTISON (APRN, FNP-C)	Nurse Practitioner	UT
MICHELLE SHELLEY HARLENE HALE-BYINGTON (NP)	Nurse Practitioner	UT