MS. DANA MICHELLE PICKLE (FNP) – Primary Care Nurse Practitioner, NPI 1265050660
Primary Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,655 NURSE PRACTITIONER in UT
Provider Addresses for MS. DANA MICHELLE PICKLE (FNP)
4261 W LOWER MEADOW DR
HERRIMAN, UT 840961259
Phone: (801) 699-5483
Type: Mailing
99 E PRINCETON DR APT F115
SANDY, UT 840701274
Phone: (801) 699-5483
Type: Mailing
3435 E PONY EXPRESS PKWY STE 104
EAGLE MOUNTAIN, UT 840055515
Phone: (801) 789-2444
Fax: (801) 789-2045
Type: Location
280 S MAIN ST
BOUNTIFUL, UT 840106236
Phone: (801) 505-0821
Fax: (801) 505-0803
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $251.
Total Amount is formed as General ($251) + Research ($0) + Ownership ($0) = $251.
Last reported payment date: 2024-10-10 • Largest payer in this snapshot: MIMEDX Group, Inc. ($176).
Total Amount
$251
General + Research + Ownership
Payments
6
Total payment records
General Amount
$251
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| MIMEDX Group, Inc. | $176 |
| PFIZER INC. | $23 |
| Lilly USA, LLC | $21 |
| Kowa Pharmaceuticals America, Inc. | $16 |
| Novo Nordisk Inc | $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: 2020-07-20
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 |
|---|---|---|---|---|
| I20200720002167 | 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 |
|---|---|---|---|---|
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 140 | 28 | $0 |
| 15271 | Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less | 123 | 14 | $0 |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 109 | 30 | $0 |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 91 | 84 | $0 |
| 99350 | Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes | 77 | 12 | $0 |
Insurance plans in this area (ZIP 84096)
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