DR. BENJAMIN RUSSEL STUART (DNP, APRN, FNP-C) – Family Nurse Practitioner, NPI 1114448529
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,655 NURSE PRACTITIONER in UT
Provider Addresses for DR. BENJAMIN RUSSEL STUART (DNP, APRN, FNP-C)
2353 E 3225 S
Salt Lake City, UT 841092719
Phone: (435) 881-4809
Type: Location
2353, 3225 South, Canyon Rim, Millcreek, Salt Lake County, Utah, 84109, United States
SALT LAKE CITY, UT 841092719
Phone: (435) 881-4809
Type: Mailing
330, Chiloquin Boulevard, Chiloquin, Klamath County, Oregon, 97624, United States
CHILOQUIN, OR 976246747
Phone: (541) 882-1487
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: 2017-11-16
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 |
|---|---|---|---|---|
| I20171116002624 | I | Nurse Practitioner | OR | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 82962 | Blood glucose (sugar) test performed by hand-held instrument | 39 | 21 | $0 |
| 83036 | Hemoglobin a1c level | 39 | 23 | $0 |
Insurance plans in this area (ZIP 84109)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| R H E U M A T O L O G Y | UT | |
| Rheumatology, Internal Medicine | OR | |
| Nurse Practitioner | OR | |
| Registered Dietitian Or Nutrition Professional | OR | |
| - | NM | |
| Nurse Practitioner | MD |
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