MALLORY RUTH ATKINSON (DNP, AGACNP-BC) – Acute Care Nurse Practitioner, NPI 1235787649
Acute Care Nurse Practitioner
Main info
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Profile Insights
NPPES metrics only — not quality of care.
2,655 NURSE PRACTITIONER in UT
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Provider Addresses for MALLORY RUTH ATKINSON (DNP, AGACNP-BC)
1104, West 250 North, Clearfield, Davis County, Utah, 84015, United States
CLEARFIELD, UT 840158790
Phone: (801) 645-2788
Type: Mailing
50, North Medical Drive, Salt Lake City, Salt Lake County, Utah, 84113, United States
SALT LAKE CITY, UT 841320001
Phone: (801) 581-2121
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $29.
Total Amount is formed as General ($29) + Research ($0) + Ownership ($0) = $29.
Last reported payment date: 2024-04-26 • Largest payer in this snapshot: Exeltis, USA Inc. ($29).
Total Amount
$29
General + Research + Ownership
Payments
1
Total payment records
General Amount
$29
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Exeltis, USA Inc. | $29 |
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: 2019-11-01
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20191101001248 | 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 |
|---|---|---|---|---|
| 99292 | Critical care, each additional 30 minutes | 124 | 32 | $0 |
| 99291 | Critical care, first 30-74 minutes | 75 | 43 | $0 |
Insurance plans in this area (ZIP 84015)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | UT | |
| Physician Assistant | WA | |
| Nurse Practitioner | UT | |
| Physician Assistant | UT | |
| Physician Assistant | MT | |
| Physician Assistant | MA | |
| A N E S T H E S I O L O G Y | UT | |
| Pulmonary Disease, Sleep Medicine, Internal Medicine, Critical Care (Intensivists) | UT | |
| Nurse Practitioner | UT | |
| General Surgery | UT |
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