SARA C MLESO (FNP) – Family Nurse Practitioner, NPI 1285318295

Family Nurse Practitioner

SARA C MLESO (FNP) is a healthcare provider. based in Ogden, Utah. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 8297984-3102 (UT). The NPI Number for SARA C MLESO (FNP) is 1285318295

Main info

Female

3 Years Of Experience

Accepts Medicare Assignment

Name

SARA C MLESO (FNP)

NPI

1285318295

Phone

(801) 334-4331

Address

1102 N 1200 W

Enumeration Date

12 June 2023

Last Update Date

5 February 2024

Doctor Profile

Medical School Name

OTHER

Secondary Phone

8015157997

Graduation Year

2023 (3 years ago)

PAC ID

9234572983

Group Practice PAC ID

0446642581

Professional Enrollment ID

I20240209000139

Address ID

UT843023112BR903XXSTXX401

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience37

Completeness75

Years active:2State licenses:2Digital endpointsOther names

2,655 NURSE PRACTITIONER in UT

Provider Addresses for SARA C MLESO (FNP)

1102 N 1200 W
Ogden, UT 844043652
Phone: (801) 334-4331
Type: Location
6405 S 3000 E STE 300
SALT LAKE CITY, UT 841216977
Phone: (801) 266-3113
Type: Mailing
836 S ANGEL ST STE 102
LAYTON, UT 840413687
Phone: (435) 291-1375
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-02-09

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

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
I20240209000139	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.

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 84404)

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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: 0446642581View full group profile