HEIDI PORTER (NP) – Nurse Practitioner, NPI 1225064124
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,655 NURSE PRACTITIONER in UT
Provider Addresses for HEIDI PORTER (NP)
3550 N UNIVERSITY AVE STE 250
PROVO, UT 846046695
Phone: (801) 374-9625
Fax: (801) 374-9690
Type: Mailing
1248 E 90 N STE 102
AMERICAN FORK, UT 840032954
Phone: (801) 756-9132
Fax: (801) 756-5091
Type: Location
Revere Health, 1055, North 500 West, North Park, Provo, Utah County, Utah, 84604, United States of America
CREDENTIALING DEPARTMENT
PROVO, UT 846043305
Phone: (801) 354-8225
Fax: (801) 429-8180
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $297.
Total Amount is formed as General ($297) + Research ($0) + Ownership ($0) = $297.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Ethicon US, LLC ($216).
Total Amount
$297
General + Research + Ownership
Payments
16
Total payment records
General Amount
$297
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Ethicon US, LLC | $216 |
| Medtronic, Inc. | $29 |
| Myriad Genetic Laboratories, Inc. | $21 |
| Davol Inc. | $16 |
| Merck Sharp & Dohme LLC | $16 |
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: 2004-03-09
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040309001081 | 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 |
|---|---|---|---|---|
| 19301 | Partial removal of breast | 20 | 18 | $0 |
| 19303 | Simple complete removal of breast | 20 | 20 | $0 |
Insurance plans in this area (ZIP 84604)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| Nurse Practitioner | UT | |
| Nurse Practitioner | UT | |
| Nurse Practitioner | UT | |
| General Surgery | UT | |
| Nurse Practitioner | UT | |
| General Surgery | UT | |
| General Surgery | OR | |
| Nurse Practitioner | UT | |
| - | UT |
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