PHYLLIS A ASELTINE (FNP) – Nurse Practitioner, NPI 1376545251
Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
2,655 NURSE PRACTITIONER in UT
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Provider Addresses for PHYLLIS A ASELTINE (FNP)
650, 4500 South, Millcreek, Salt Lake County, Utah, 84107, United States
SALT LAKE CITY, UT 841072900
Phone: (801) 288-2634
Fax: (801) 288-1186
Type: Mailing
3702 S STATE ST STE 107
SOUTH SALT LAKE, UT 841155096
Phone: (801) 288-2634
Fax: (801) 288-1186
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 38 Open Payments records for all available years, with a total value of $2,145.
Total Amount is formed as General ($2,145) + Research ($0) + Ownership ($0) = $2,145.
Last reported payment date: 2024-10-22 • Largest payer in this snapshot: Fresenius USA Marketing, Inc. ($471).
Total Amount
$2,145
General + Research + Ownership
Payments
38
Total payment records
General Amount
$2,145
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Fresenius USA Marketing, Inc. | $471 |
| AstraZeneca Pharmaceuticals LP | $413 |
| Amgen Inc. | $323 |
| NxStage Medical, Inc. | $202 |
| Horizon Therapeutics plc | $125 |
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: 2014-10-28
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 |
|---|---|---|---|---|
| I20141028000169 | 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 |
|---|---|---|---|---|
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 75 | 51 | $0 |
| 90961 | Dialysis services, 2-3 physician visits per month (20 years or older) | 21 | 18 | $0 |
Insurance plans in this area (ZIP 84107)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | UT | 90961 | Dialysis services (2-3 physician visits per month), patient 20 years of age and older | 22 | 21 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nephrology, Internal Medicine | UT | |
| Nurse Practitioner | UT | |
| N E P H R O L O G Y | UT | |
| Nurse Practitioner | UT | |
| - | UT | |
| Nurse Practitioner | UT | |
| Nephrology, Internal Medicine | UT | |
| Nephrology, Internal Medicine | UT | |
| Nurse Practitioner | UT | |
| Nephrology, Internal Medicine | UT |
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