ANN REBECCA BARTHOLOMEW (PA) – Physician Assistant, NPI 1356471767

ANN REBECCA BARTHOLOMEW (PA) is a healthcare provider. based in Clinton, Utah. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA3830 (MA). The NPI Number for ANN REBECCA BARTHOLOMEW (PA) is 1356471767

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
ANN REBECCA BARTHOLOMEW (PA)
NPI
1356471767
Phone
(385) 333-7123
Address
1407 N 2000 W STE G
Enumeration Date
6 March 2007
Last Update Date
6 November 2024

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9105774968
Graduation Year
2006 (20 years ago)
PAC ID
5698815058
Group Practice PAC ID
4587569256
Professional Enrollment ID
I20210915003996
Address ID
NC285466351JA237XXSTXX303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience88
Completeness75
Years active:19State licenses:7Digital endpointsOther names

1,971 PHYSICIAN ASSISTANT in UT

Provider Addresses for ANN REBECCA BARTHOLOMEW (PA)

  • 1407 N 2000 W STE G

    CLINTON, UT 840158563

    Phone: (385) 333-7123

    Fax: (801) 452-6729

    Type: Mailing

  • 4130 OLEANDER DR

    WILMINGTON, NC 284036843

    Phone: (910) 313-2460

    Fax: (910) 313-2461

    Type: Location

  • 160 IRIS WAY

    HAMPSTEAD, NC 284433885

    Phone: (404) 667-8370

    Type: Mailing

  • 237 WHITE ST STE 1

    JACKSONVILLE, NC 285466351

    Phone: (910) 577-4968

    Fax: (910) 577-2916

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $197.

Total Amount is formed as General ($197) + Research ($0) + Ownership ($0) = $197.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($67).

Total Amount

$197

General + Research + Ownership

Payments

9

Total payment records

General Amount

$197

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

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: 2021-09-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150616002603IPhysician AssistantVATBD
I20210915003996IPhysician AssistantNCTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
69210Removal of impacted ear wax12377$0
99214Established patient office or other outpatient visit, 30-39 minutes7047$0
99213Established patient office or other outpatient visit, 20-29 minutes6847$0
99203New patient office or other outpatient visit, 30-44 minutes4040$0
99204New patient office or other outpatient visit, 45-59 minutes3939$0
View full utilization report →

Insurance plans in this area (ZIP 84015)

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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: 4587569256View full group profile
NameSpecialtyState
Pulmonary DiseaseNC
General SurgeryNC
Physician AssistantNC
Otolaryngology, Sleep MedicineWI
-NC
Physician AssistantMI
Family Practice, Geriatric MedicineNC
D E R M A T O L O G YNC
Qualified AudiologistMD
Family PracticeVA

Reviews

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Frequently asked questions

How do I look up ANN REBECCA BARTHOLOMEW (PA) by NPI?
Use NPI 1356471767 when you need to reference ANN REBECCA BARTHOLOMEW (PA) in forms, claims, or directories.
Is ANN REBECCA BARTHOLOMEW (PA)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does ANN REBECCA BARTHOLOMEW (PA) treat or focus on?
Patients typically see ANN REBECCA BARTHOLOMEW (PA) under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
Does ANN REBECCA BARTHOLOMEW (PA) practice in Utah?
You will see Clinton, Utah on file for ANN REBECCA BARTHOLOMEW (PA) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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