DESSARAE LOCKHART (NURSE PRACTITIONER) – Family Nurse Practitioner, NPI 1114602786

DESSARAE LOCKHART (NURSE PRACTITIONER) is a healthcare provider. based in North ogden, Utah. specializing in NURSE PRACTITIONER. They hold the professional credentials NURSE PRACTITIONER. They hold a License No. F05230482 (TX). The NPI Number for DESSARAE LOCKHART (NURSE PRACTITIONER) is 1114602786

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
DESSARAE LOCKHART (NURSE PRACTITIONER)
NPI
1114602786
Phone
Not provided
Address
2637 N 400 E # 164
Enumeration Date
20 June 2023
Last Update Date
20 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8172849850
Graduation Year
2023 (3 years ago)
PAC ID
5597124560
Group Practice PAC ID
3577752898
Professional Enrollment ID
I20230710000120
Address ID
TX760215985BE2304X121X300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for DESSARAE LOCKHART (NURSE PRACTITIONER)

  • 2637 N 400 E # 164

    NORTH OGDEN, UT 844142240

    Phone:

    Type: Mailing

  • 2304 HIGHWAY 121

    BEDFORD, TX 760215985

    Phone: (214) 970-6817

    Fax: (844) 803-4513

    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: 2023-07-10

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
I20230710000120INurse PractitionerTXTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes8818$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2318$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2317$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 84414)

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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: 3577752898View full group profile
NameSpecialtyState
Physical Medicine And RehabilitationTX

Reviews

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Frequently asked questions

Where can patients find DESSARAE LOCKHART (NURSE PRACTITIONER)'s NPI?
You can confirm DESSARAE LOCKHART (NURSE PRACTITIONER) with NPI 1114602786; it appears in the national provider directory.
Is DESSARAE LOCKHART (NURSE PRACTITIONER)'s NPI currently valid?
The extract we use shows DESSARAE LOCKHART (NURSE PRACTITIONER) as active.
What field does DESSARAE LOCKHART (NURSE PRACTITIONER) work in?
You can think of DESSARAE LOCKHART (NURSE PRACTITIONER) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is DESSARAE LOCKHART (NURSE PRACTITIONER)'s primary listing?
We display North Ogden, Utah because that is what the record indicates for DESSARAE LOCKHART (NURSE PRACTITIONER).
How can I contact DESSARAE LOCKHART (NURSE PRACTITIONER)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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