KEVIN DALE NEWBOLD – Family Nurse Practitioner, NPI 1366917577
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,657 NURSE PRACTITIONER in UT
Provider Addresses for KEVIN DALE NEWBOLD
201 W Layton Pkwy
Layton, UT 840413692
Phone: (801) 387-7678
Fax: (801) 387-8538
Type: Location
Salt Lake City, Salt Lake County, Utah, United States
SALT LAKE CITY, UT 841111401
Phone: (801) 442-2000
Type: Mailing
3895, Harrison Boulevard, Ogden, Weber County, Utah, 84403, United States
OGDEN, UT 844032312
Phone: (801) 387-7678
Fax: (801) 387-8538
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 $413.
Total Amount is formed as General ($413) + Research ($0) + Ownership ($0) = $413.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Stryker Corporation ($352).
Total Amount
$413
General + Research + Ownership
Payments
11
Total payment records
General Amount
$413
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $352 |
| Smith+Nephew, Inc. | $61 |
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: 2019-04-11
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 |
|---|---|---|---|---|
| I20190411002184 | 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 |
|---|---|---|---|---|
| 23472 | Prosthetic repair of shoulder joint, total shoulder | 95 | 92 | $0 |
| 29826 | Shaving of part of shoulder bone and repair of ligament using an endoscope | 31 | 31 | $0 |
| 29824 | Partial removal of collar bone at shoulder using an endoscope | 28 | 28 | $0 |
| 29828 | Release of tendon connecting biceps muscle and shoulder using an endoscope | 28 | 28 | $0 |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 21 | 21 | $0 |
Insurance plans in this area (ZIP 84041)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | WI | |
| Orthopedic Surgery | UT | |
| Physician Assistant | CA | |
| Physician Assistant | CA | |
| Physician Assistant | UT | |
| Physician Assistant | UT | |
| Nurse Practitioner | UT | |
| Orthopedic Surgery | UT | |
| Orthopedic Surgery | UT | |
| Physician Assistant | UT |
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