RUSSELL B PINCOCK (NP-C) – Family Nurse Practitioner, NPI 1356636443

RUSSELL B PINCOCK (NP-C) is a healthcare provider. based in Blanding, Utah. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. 49201274405 (UT). The NPI Number for RUSSELL B PINCOCK (NP-C) is 1356636443

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
RUSSELL B PINCOCK (NP-C)
NPI
1356636443
Phone
(435) 651-3291
Address
802 S 200 W
Enumeration Date
16 June 2011
Last Update Date
7 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4356513700
Graduation Year
2011 (15 years ago)
PAC ID
8123290962
Group Practice PAC ID
1658275649
Professional Enrollment ID
I20111020000409
Address ID
UT845340130MOEASTX262X300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

2,655 NURSE PRACTITIONER in UT

Provider Addresses for RUSSELL B PINCOCK (NP-C)

  • 802 S 200 W

    BLANDING, UT 845113910

    Phone: (435) 651-3291

    Fax: (435) 651-3376

    Type: Location

  • PO BOX 130

    MONTEZUMA CREEK, UT 845340130

    Phone:

    Type: Mailing

  • 910 S 300 W

    BLANDING, UT 845113921

    Phone: (435) 651-3700

    Fax: (435) 678-0608

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $21.

Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.

Last reported payment date: 2023-07-28 • Largest payer in this snapshot: Dermavant Sciences, Inc. ($21).

Total Amount

$21

General + Research + Ownership

Payments

1

Total payment records

General Amount

$21

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-28

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Dermavant Sciences, Inc.$21
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: 2011-10-20

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
I20111020000409INurse 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count153105$0
80053Blood test, comprehensive group of blood chemicals131104$0
81003Automated urinalysis test9565$0
83036Hemoglobin a1c level9452$0
80061Blood test, lipids (cholesterol and triglycerides)6360$0
View full utilization report →

Insurance plans in this area (ZIP 84511)

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Provider's Procedures

RUSSELL B PINCOCK (NP-C) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERUT81002Urinalysis, manual test6052

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: 1658275649View full group profile
NameSpecialtyState
Family PracticeMT
P S Y C H I A T R YUT
Physician AssistantUT
Clinical Social WorkerUT
Nurse PractitionerUT
O P T O M E T R YUT
Physician AssistantUT
Physician AssistantUT
Physician AssistantUT
Physician AssistantUT

Reviews

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Frequently asked questions

Is RUSSELL B PINCOCK (NP-C) listed with a National Provider Identifier?
Yes — RUSSELL B PINCOCK (NP-C) has NPI 1356636443 on file in the registry.
Would RUSSELL B PINCOCK (NP-C) appear as active to a payer?
You can treat RUSSELL B PINCOCK (NP-C) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe RUSSELL B PINCOCK (NP-C)'s focus?
For RUSSELL B PINCOCK (NP-C), the primary taxonomy reads as Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Utah is RUSSELL B PINCOCK (NP-C) registered?
Use Blanding, Utah as the headline location for RUSSELL B PINCOCK (NP-C) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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