ANGELA STEVENSON – Nurse Practitioner, NPI 1316627029

ANGELA STEVENSON is a healthcare provider. based in St george, Utah. specializing in NURSE PRACTITIONER. They hold a License No. 513446-4405 (UT). The NPI Number for ANGELA STEVENSON is 1316627029

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
ANGELA STEVENSON
NPI
1316627029
Phone
(435) 628-3334
Address
617 E RIVERSIDE DR STE 201
Enumeration Date
19 July 2023
Last Update Date
19 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4356283334
Graduation Year
2023 (3 years ago)
PAC ID
1658733274
Group Practice PAC ID
4082772777
Professional Enrollment ID
I20230815000494
Address ID
UT847908721ST617XXDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

2,655 NURSE PRACTITIONER in UT

Provider Addresses for ANGELA STEVENSON

  • 617 E RIVERSIDE DR STE 201

    ST GEORGE, UT 847908721

    Phone: (435) 628-3334

    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 4 Open Payments records for all available years, with a total value of $85.

Total Amount is formed as General ($85) + Research ($0) + Ownership ($0) = $85.

Last reported payment date: 2024-05-16 • Largest payer in this snapshot: GENZYME CORPORATION ($63).

Total Amount

$85

General + Research + Ownership

Payments

4

Total payment records

General Amount

$85

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-16

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: 2023-08-15

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
I20230815000494INurse 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 84790)

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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: 4082772777View full group profile
NameSpecialtyState
Qualified AudiologistUT
O T O L A R Y N G O L O G YUT
O T O L A R Y N G O L O G YUT
O T O L A R Y N G O L O G YUT
O T O L A R Y N G O L O G YUT
-UT
Physician AssistantUT
Physician AssistantUT
Physician AssistantUT
Nurse PractitionerUT

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Frequently asked questions

What federal number belongs to ANGELA STEVENSON?
The federal identifier for ANGELA STEVENSON is NPI 1316627029.
Is ANGELA STEVENSON active in the national directory?
ANGELA STEVENSON's public NPI profile is in an active state.
What field does ANGELA STEVENSON work in?
You can think of ANGELA STEVENSON as practicing within Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for ANGELA STEVENSON?
The page summarizes St George, Utah for ANGELA STEVENSON; expand the address list for detail.
What if St George, Utah seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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