REBECCA MACKINTOSH (NP) – Family Nurse Practitioner, NPI 1275873903
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for REBECCA MACKINTOSH (NP)
8 TH AVE & C ST
SALT LAKE CITY, UT 841430001
Phone: (801) 408-3638
Fax: (801) 408-8326
Type: Mailing
4624 S HOLLADAY BLVD.
SUITE 201
SALT LAKE CITY, UT 841177168
Phone: (801) 266-3113
Type: Mailing
8 Th Ave & C St
Salt Lake City, UT 841430001
Phone: (801) 408-3638
Fax: (801) 408-8326
Type: Location
965 E 700 S
Suite 105
St. George, UT 847904084
Phone: (435) 775-2324
Fax: (435) 775-2041
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $1,770.
Total Amount is formed as General ($1,770) + Research ($0) + Ownership ($0) = $1,770.
Last reported payment date: 2024-10-30 • Largest payer in this snapshot: KCI USA, Inc. ($886).
Total Amount
$1,770
General + Research + Ownership
Payments
15
Total payment records
General Amount
$1,770
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| KCI USA, Inc. | $886 |
| COLOPLAST CORP | $279 |
| Smith+Nephew, Inc. | $149 |
| Takeda Pharmaceuticals U.S.A., Inc. | $125 |
| ConvaTec Inc. | $112 |
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: 2024-09-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20130801000459 | I | Nurse Practitioner | UT | TBD |
| I20240906001885 | I | Nurse Practitioner | WA | 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 84143)
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Group practice members
Reviews
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