HEATHER LARENA BASCOM (FNP) – Family Nurse Practitioner, NPI 1124660154
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,657 NURSE PRACTITIONER in UT
Provider Addresses for HEATHER LARENA BASCOM (FNP)
1360 W HIGHWAY 40
VERNAL, UT 840784203
Phone: (435) 789-7337
Type: Mailing
647, South 1900 West, Vernal, Uintah County, Utah, 84078, United States
VERNAL, UT 840784113
Phone: (435) 722-7968
Type: Mailing
2825 E BARNETT RD
MEDFORD, OR 975048332
Phone: (541) 789-7000
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $174.
Total Amount is formed as General ($174) + Research ($0) + Ownership ($0) = $174.
Last reported payment date: 2024-10-17 • Largest payer in this snapshot: ABBVIE INC. ($51).
Total Amount
$174
General + Research + Ownership
Payments
9
Total payment records
General Amount
$174
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $51 |
| Ultragenyx Pharmaceutical Inc. | $48 |
| Medline Industries LP | $23 |
| Solventum Corporation | $18 |
| Kyowa Kirin, Inc. | $17 |
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: 2024-12-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20240319002725 | I | Nurse Practitioner | OR | TBD |
| I20241213003037 | 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.
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 84078)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | UT | |
| Physician Assistant | UT | |
| General Surgery | UT | |
| H E M A T O L O G Y/ O N C O L O G Y | GA | |
| Medical Oncology, Hematology/Oncology, Internal Medicine | UT | |
| - | UT | |
| Internal Medicine | UT | |
| Physical Medicine And Rehabilitation | UT | |
| O T O L A R Y N G O L O G Y | CO | |
| Family Practice | UT |
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