KATIE YANGUEZ (FNP) – Family Nurse Practitioner, NPI 1215388566

KATIE YANGUEZ (FNP) is a healthcare provider. based in Holladay, Utah. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 8677108-4405 (UT). The NPI Number for KATIE YANGUEZ (FNP) is 1215388566

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
KATIE YANGUEZ (FNP)
NPI
1215388566
Phone
(801) 803-9323
Address
4602 S RUSSELL ST
Enumeration Date
28 June 2016
Last Update Date
28 June 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8016764405
Graduation Year
2016 (10 years ago)
PAC ID
2860752938
Group Practice PAC ID
5991698169
Professional Enrollment ID
I20180209001495
Address ID
UT841204639WE4535X5600300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:9State licenses:2Digital endpointsOther names

2,655 NURSE PRACTITIONER in UT

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Provider Addresses for KATIE YANGUEZ (FNP)

  • 4602, Russell Street, Holladay, Salt Lake County, Utah, 84117, United States

    HOLLADAY, UT 841174549

    Phone: (801) 803-9323

    Type: Mailing

  • 4535, 5600 West, West Valley City, Salt Lake County, Utah, 84120, United States

    WEST VALLEY, UT 841204639

    Phone: (801) 676-4405

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $69.

Total Amount is formed as General ($69) + Research ($0) + Ownership ($0) = $69.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($28).

Total Amount

$69

General + Research + Ownership

Payments

4

Total payment records

General Amount

$69

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

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: 2018-02-09

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
I20180209001495INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84117)

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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: 5991698169View full group profile
NameSpecialtyState
Family PracticeUT
Family PracticeUT
Family PracticeID
Family PracticeIL
Internal MedicineTX
Clinical Social WorkerUT
Nurse PractitionerUT
-UT
Family PracticeMN
Physician AssistantUT

Reviews

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Frequently asked questions

What unique ID ties claims to KATIE YANGUEZ (FNP)?
NPI 1215388566 is assigned to KATIE YANGUEZ (FNP) under the national enumeration system.
Is KATIE YANGUEZ (FNP) currently active in the NPI registry?
CMS-published data lists KATIE YANGUEZ (FNP) as an active registrant.
Does KATIE YANGUEZ (FNP) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for KATIE YANGUEZ (FNP). Clinical services aligned with this taxonomy classification.
What location shows for KATIE YANGUEZ (FNP)?
We surface Holladay, Utah for KATIE YANGUEZ (FNP) based on available NPPES addresses.
Is KATIE YANGUEZ (FNP) a real provider?
This page reflects official NPPES data for NPI 1215388566. Always confirm identity and privileges with the practice and licensing boards.