ADRIENNE NATASHA TERRY (PA-C) – Physician Assistant, NPI 1134648520

ADRIENNE NATASHA TERRY (PA-C) is a healthcare provider. based in Sandy, Utah. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 10513037-1206 (UT). The NPI Number for ADRIENNE NATASHA TERRY (PA-C) is 1134648520

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
ADRIENNE NATASHA TERRY (PA-C)
NPI
1134648520
Phone
(801) 796-2678
Address
50 E 9000 S, Ste 1
Enumeration Date
17 September 2017
Last Update Date
17 December 2025

Doctor Profile

Medical School Name
UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Secondary Phone
8018161010
Graduation Year
2017 (9 years ago)
PAC ID
3971879263
Group Practice PAC ID
4284046335
Professional Enrollment ID
I20171101002220
Address ID
UT840936151SA7410XRDXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:8State licenses:1Digital endpointsOther names

1,971 PHYSICIAN ASSISTANT in UT

Provider Addresses for ADRIENNE NATASHA TERRY (PA-C)

  • 50 E 9000 S, Ste 1

    Aquatic and Rehab Center

    Sandy, UT 840702201

    Phone: (801) 796-2678

    Fax: (801) 877-5583

    Type: Location

  • 3725 W 4100 S

    WEST VALLEY CITY, UT 841205530

    Phone: (801) 965-3600

    Type: Mailing

  • 641 WEST 1290 NORTH

    LEHI, UT 840432327

    Phone: (801) 796-2678

    Fax: (801) 877-5583

    Type: Mailing

  • 3725, 4100 South, West Valley City, Salt Lake County, Utah, 84120, United States

    West Valley, UT 841205530

    Phone: (801) 965-3600

    Type: Location

  • 641 W 1290 N

    LEHI, UT 840432327

    Phone: (801) 796-2678

    Fax: (801) 877-5583

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 204 Open Payments records for all available years, with a total value of $12,991.

Total Amount is formed as General ($12,991) + Research ($0) + Ownership ($0) = $12,991.

Last reported payment date: 2024-12-27 • Largest payer in this snapshot: Lilly USA, LLC ($10,467).

Total Amount

$12,991

General + Research + Ownership

Payments

204

Total payment records

General Amount

$12,991

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-27

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2017-11-01

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
I20171101002220IPhysician AssistantUTTBD

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 minutes6160$0
83036Hemoglobin a1c level5756$0
95251Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report3636$0
View full utilization report →

Insurance plans in this area (ZIP 84070)

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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: 4284046335View full group profile
NameSpecialtyState
Physician AssistantUT
Endocrinology, Internal MedicineUT
Nurse PractitionerUT
Nurse PractitionerUT
Nurse PractitionerUT
Nurse PractitionerCA

Reviews

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Frequently asked questions

What number should I use to identify ADRIENNE NATASHA TERRY (PA-C) for billing?
Administrative and clinical systems typically use NPI 1134648520 for ADRIENNE NATASHA TERRY (PA-C).
Is ADRIENNE NATASHA TERRY (PA-C) currently accepting referrals based on NPI status?
Registry metadata lists ADRIENNE NATASHA TERRY (PA-C) as active.
Which specialty label fits ADRIENNE NATASHA TERRY (PA-C)?
NPPES ties ADRIENNE NATASHA TERRY (PA-C) to Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit ADRIENNE NATASHA TERRY (PA-C) in Sandy, Utah?
For routing, start with Sandy, Utah for ADRIENNE NATASHA TERRY (PA-C), then verify phone and hours locally.
Who maintains ADRIENNE NATASHA TERRY (PA-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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