MARANDA ANN NELSON – Nurse Practitioner, NPI 1124626551

MARANDA ANN NELSON is a healthcare provider. based in Washington, Utah. specializing in NURSE PRACTITIONER. They hold a License No. 10645588-4405 (UT). The NPI Number for MARANDA ANN NELSON is 1124626551

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
MARANDA ANN NELSON
NPI
1124626551
Phone
Not provided
Address
199 E HOLLY WAY
Enumeration Date
16 October 2020
Last Update Date
1 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4352513950
Graduation Year
2020 (6 years ago)
PAC ID
6709284664
Group Practice PAC ID
1850209420
Professional Enrollment ID
I20211006002089
Address ID
UT847907266ST652XXDRXX503

Contacts

Secure Messaging
kenneth.nowers1@direct.imail.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Other namesUpdated within 12 months

2,655 NURSE PRACTITIONER in UT

Provider Addresses for MARANDA ANN NELSON

  • 199 E HOLLY WAY

    WASHINGTON, UT 847802924

    Phone:

    Type: Mailing

  • 652 S MEDICAL CENTER DR STE 420

    SAINT GEORGE, UT 847907049

    Phone: (435) 251-6800

    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: 2021-10-06

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
I20211006002089INurse 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes8381$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes7764$0
99291Critical care, first 30-74 minutes3021$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2222$0
99284Emergency department visit with moderate level of medical decision making1212$0
View full utilization report →

Insurance plans in this area (ZIP 84780)

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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: 1850209420View full group profile

Reviews

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Frequently asked questions

Where can patients find MARANDA ANN NELSON's NPI?
You can confirm MARANDA ANN NELSON with NPI 1124626551; it appears in the national provider directory.
Is MARANDA ANN NELSON's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does MARANDA ANN NELSON treat or focus on?
Patients typically see MARANDA ANN NELSON under the specialty Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place MARANDA ANN NELSON?
The snapshot lists Washington, Utah for MARANDA ANN NELSON; download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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