MRS. SHALESE MARIE KILLIAN (FNP-C) – Family Nurse Practitioner, NPI 1346875325
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,655 NURSE PRACTITIONER in UT
Provider Addresses for MRS. SHALESE MARIE KILLIAN (FNP-C)
PO BOX 1854
ROOSEVELT, UT 840661854
Phone: (435) 724-3545
Type: Mailing
250 W 300 N
ROOSEVELT, UT 840662336
Phone: (435) 722-4691
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $431.
Total Amount is formed as General ($431) + Research ($0) + Ownership ($0) = $431.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: REVANCE THERAPEUTICS, INC. ($272).
Total Amount
$431
General + Research + Ownership
Payments
11
Total payment records
General Amount
$431
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| REVANCE THERAPEUTICS, INC. | $272 |
| ABBVIE INC. | $61 |
| 180 Medical, Inc. | $20 |
| PFIZER INC. | $18 |
| 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: 2020-05-12
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 |
|---|---|---|---|---|
| I20200512002781 | 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 |
|---|---|---|---|---|
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 84066)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | AK | |
| Pediatric Medicine | UT | |
| Physician Assistant | UT | |
| Family Practice | UT | |
| Nurse Practitioner | UT | |
| P A T H O L O G Y | IL | |
| Family Practice | UT | |
| Nurse Practitioner | UT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | UT | |
| Physician Assistant | UT |
Reviews
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