DENNIN M LOOMIS (NP-C) – Nurse Practitioner, NPI 1205494242

DENNIN M LOOMIS (NP-C) is a healthcare provider. based in Ogden, Utah. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. 9006354-4405 (UT). The NPI Number for DENNIN M LOOMIS (NP-C) is 1205494242

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
DENNIN M LOOMIS (NP-C)
NPI
1205494242
Phone
(801) 475-3300
Address
1491 E RIDGELINE DR
Enumeration Date
4 June 2019
Last Update Date
7 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8014753300
Graduation Year
2019 (7 years ago)
PAC ID
9133456924
Group Practice PAC ID
1658781422
Professional Enrollment ID
I20190816002112
Address ID
UT844034303OG4700XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

2,655 NURSE PRACTITIONER in UT

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Provider Addresses for DENNIN M LOOMIS (NP-C)

  • 1491, East Ridgeline Drive, South Ogden, Weber County, Utah, 84405, United States

    OGDEN, UT 844054954

    Phone: (801) 475-3300

    Fax: (801) 475-3414

    Type: Mailing

  • PO BOX 5546

    DENVER, CO 802175546

    Phone: (801) 475-3500

    Fax: (801) 475-3494

    Type: Mailing

  • 4700, Harrison Boulevard, Ogden, Weber County, Utah, 84403, United States

    OGDEN, UT 844034303

    Phone: (801) 475-3300

    Fax: (801) 475-3301

    Type: Location

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 $209.

Total Amount is formed as General ($209) + Research ($0) + Ownership ($0) = $209.

Last reported payment date: 2024-08-29 • Largest payer in this snapshot: Orthofix Medical, Inc. ($76).

Total Amount

$209

General + Research + Ownership

Payments

9

Total payment records

General Amount

$209

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-29

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: 2019-08-16

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
I20190816002112INurse 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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg56857$0
20610Aspiration and/or injection of fluid from large joint11883$0
99214Established patient office or other outpatient visit, 30-39 minutes9381$0
99213Established patient office or other outpatient visit, 20-29 minutes8980$0
73562X-ray of knee, 3 views7358$0
View full utilization report →

Insurance plans in this area (ZIP 84405)

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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: 1658781422View full group profile
NameSpecialtyState
Physician AssistantUT
P O D I A T R YCO
D E R M A T O L O G YCO
Physician AssistantUT
Nurse PractitionerUT
Qualified Speech Language PathologistCO
N E U R O L O G YCO
Family Practice, Sports MedicineCO
Neurology, Sleep MedicineCO
Physician AssistantCO

Reviews

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Frequently asked questions

Can I verify DENNIN M LOOMIS (NP-C) with an NPI only?
You can start verification with NPI 1205494242 for DENNIN M LOOMIS (NP-C), then check state licensing separately.
Can I rely on DENNIN M LOOMIS (NP-C) being an active provider?
As of the registry snapshot, DENNIN M LOOMIS (NP-C) is marked active.
What is DENNIN M LOOMIS (NP-C) best known for clinically?
Directory data describes DENNIN M LOOMIS (NP-C) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does DENNIN M LOOMIS (NP-C) serve?
DENNIN M LOOMIS (NP-C)'s listing highlights Ogden, Utah; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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