MRS. STEPHANIE BOISVERT CANAL (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1255697561
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,657 NURSE PRACTITIONER in UT
Provider Addresses for MRS. STEPHANIE BOISVERT CANAL (PMHNP)
3802 S 700 E
SALT LAKE BEHAVIORAL HEALTH
Salt Lake City, UT 841061182
Phone: (401) 632-6670
Type: Location
520 WINDY WAY
NEW CUMBERLAND, PA 17070
Phone: (401) 632-6670
Type: Mailing
YOUTH ADVOCATE PROGRAMS, INC 1515 N FRONT STREET
HARRISBURG, PA 171021815
Phone: (717) 232-3150
Fax: (717) 232-3127
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 145 Open Payments records for all available years, with a total value of $2,953.
Total Amount is formed as General ($2,953) + Research ($0) + Ownership ($0) = $2,953.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Vanda Pharmaceuticals Inc. ($1,143).
Total Amount
$2,953
General + Research + Ownership
Payments
145
Total payment records
General Amount
$2,953
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Vanda Pharmaceuticals Inc. | $1,143 |
| Otsuka America Pharmaceutical, Inc. | $275 |
| Lundbeck LLC | $192 |
| Ironshore Pharmaceuticals Inc. | $136 |
| Teva Pharmaceuticals USA, Inc. | $136 |
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: 2020-06-02
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 |
|---|---|---|---|---|
| I20200602002968 | I | Nurse Practitioner | NC | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84106)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NC |
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