MRS. CAROL SUE TANNER (PA-C) – Physician Assistant, NPI 1386857829

MRS. CAROL SUE TANNER (PA-C) is a healthcare provider. based in Springville, Utah. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5206678-1206 (UT). The NPI Number for MRS. CAROL SUE TANNER (PA-C) is 1386857829

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
MRS. CAROL SUE TANNER (PA-C)
NPI
1386857829
Phone
(801) 369-8989
Address
672 W 400 S STE 201
Enumeration Date
8 May 2007
Last Update Date
8 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8013698989
Graduation Year
2002 (24 years ago)
PAC ID
9638115108
Group Practice PAC ID
2163750688
Professional Enrollment ID
I20050706000751
Address ID
UT846633170SP672XX400X303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,971 PHYSICIAN ASSISTANT in UT

Provider Addresses for MRS. CAROL SUE TANNER (PA-C)

  • 672 W 400 S STE 201

    SPRINGVILLE, UT 846633170

    Phone: (801) 369-8989

    Fax: (801) 704-9741

    Type: Mailing

  • 415 N Main St

    Spanish Fork, UT 846601439

    Phone: (801) 798-9715

    Fax: (801) 798-3131

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 65 Open Payments records for all available years, with a total value of $1,062.

Total Amount is formed as General ($1,062) + Research ($0) + Ownership ($0) = $1,062.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($425).

Total Amount

$1,062

General + Research + Ownership

Payments

65

Total payment records

General Amount

$1,062

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2005-07-06

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
I20050706000751IPhysician AssistantUTTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84663)

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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: 2163750688View full group profile
NameSpecialtyState
Physician AssistantUT
Nurse PractitionerDE
Physician AssistantMI
Clinical Social WorkerUT
Physician AssistantUT
Nurse PractitionerUT
-UT
P S Y C H I A T R YUT
Clinical Social WorkerCO
Clinical Social WorkerUT

Reviews

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Frequently asked questions

Does MRS. CAROL SUE TANNER (PA-C) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MRS. CAROL SUE TANNER (PA-C) uses 1386857829.
Does the file indicate MRS. CAROL SUE TANNER (PA-C) is practicing under active NPI?
Directory data currently reports MRS. CAROL SUE TANNER (PA-C) as active.
What is MRS. CAROL SUE TANNER (PA-C)'s specialty?
The listing groups MRS. CAROL SUE TANNER (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where should I expect MRS. CAROL SUE TANNER (PA-C) on a map?
Expect Springville, Utah as a primary anchor for MRS. CAROL SUE TANNER (PA-C) unless the record lists multiple sites.
Why does MRS. CAROL SUE TANNER (PA-C) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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