MARIE R. TIMOTHY (FNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1124676044
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,655 NURSE PRACTITIONER in UT
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Provider Addresses for MARIE R. TIMOTHY (FNP)
Medical Drive, Bountiful, Davis County, Utah, 84010, United States
BOUNTIFUL, UT 840108905
Phone: (801) 683-1062
Fax: (801) 295-5537
Type: Mailing
Fashion Point Drive, South Ogden, Weber County, Utah, 84405, United States
SOUTH OGDEN, UT 844034838
Phone: (801) 683-1062
Fax: (801) 295-5537
Type: Location
2121 N 1700 W
LAYTON, UT 840418803
Phone: (801) 773-4840
Fax: (801) 525-3164
Type: Mailing
1750 E 3100 N
LAYTON, UT 840402406
Phone: (801) 773-4840
Fax: (801) 525-3164
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 98 Open Payments records for all available years, with a total value of $1,709.
Total Amount is formed as General ($1,709) + Research ($0) + Ownership ($0) = $1,709.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($450).
Total Amount
$1,709
General + Research + Ownership
Payments
98
Total payment records
General Amount
$1,709
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $450 |
| Janssen Pharmaceuticals, Inc | $407 |
| Axsome Therapeutics, Inc. | $108 |
| Bausch Health US, LLC | $64 |
| Teva Pharmaceuticals USA, Inc. | $60 |
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: 2020-11-20
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 |
|---|---|---|---|---|
| I20201120002403 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 96127 | Assessment of emotional or behavioral problems | 43 | 12 | $0 |
Insurance plans in this area (ZIP 84010)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | UT | |
| Family Practice | UT | |
| Physician Assistant | UT | |
| Internal Medicine, Endocrinology | UT | |
| Family Practice | UT | |
| - | UT | |
| O T O L A R Y N G O L O G Y | UT | |
| Physician Assistant | AZ | |
| Qualified Audiologist | UT | |
| Certified Registered Nurse Anesthetist (Crna) | UT |
Reviews
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