MAURICE MANFRED FIEDEL (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1265035257

MAURICE MANFRED FIEDEL (APRN) is a healthcare provider. based in Riverton, Utah. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 6210942-3102 (UT). The NPI Number for MAURICE MANFRED FIEDEL (APRN) is 1265035257

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
MAURICE MANFRED FIEDEL (APRN)
NPI
1265035257
Phone
(801) 815-2068
Address
2639 W 13220 S
Enumeration Date
20 November 2020
Last Update Date
22 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8013698989
Graduation Year
2021 (5 years ago)
PAC ID
8022343763
Group Practice PAC ID
2163750688
Professional Enrollment ID
I20220308000696
Address ID
UT846633170SP672XX400X303
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:5State licenses:2Digital endpointsOther names

2,655 NURSE PRACTITIONER in UT

Provider Addresses for MAURICE MANFRED FIEDEL (APRN)

  • 2639 W 13220 S

    RIVERTON, UT 840652279

    Phone: (801) 815-2068

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 83 Open Payments records for all available years, with a total value of $1,741.

Total Amount is formed as General ($1,741) + Research ($0) + Ownership ($0) = $1,741.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: ABBVIE INC. ($517).

Total Amount

$1,741

General + Research + Ownership

Payments

83

Total payment records

General Amount

$1,741

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: 2022-03-08

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
I20220308000696INurse 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 84065)

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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: 2163750688View full group profile
NameSpecialtyState
Physician AssistantUT
Nurse PractitionerDE
Physician AssistantMI
Clinical Social WorkerUT
Physician AssistantUT
Nurse PractitionerUT
-UT
P S Y C H I A T R YUT
Clinical Social WorkerCO
Clinical Social WorkerUT

Reviews

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Frequently asked questions

What is the 10-digit NPI for MAURICE MANFRED FIEDEL (APRN)?
MAURICE MANFRED FIEDEL (APRN) — NPI 1265035257 — is the standard way to identify this listing.
Is MAURICE MANFRED FIEDEL (APRN) still practicing?
MAURICE MANFRED FIEDEL (APRN) is currently listed as active in the public NPI registry.
What healthcare role does MAURICE MANFRED FIEDEL (APRN) hold?
Scheduling teams often label MAURICE MANFRED FIEDEL (APRN) under Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does MAURICE MANFRED FIEDEL (APRN) list a practice location?
Patients near Riverton, Utah may find MAURICE MANFRED FIEDEL (APRN) in results; validate coverage separately.
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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