NAOMI SHEA NIELSEN (NP-C) – Nurse Practitioner, NPI 1407237217

NAOMI SHEA NIELSEN (NP-C) is a healthcare provider. based in Provo, Utah. specializing in Nurse Practitioner. They hold the professional credentials NP-C. They hold a License No. 5903890-4405 (UT). The NPI Number for NAOMI SHEA NIELSEN (NP-C) is 1407237217

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
NAOMI SHEA NIELSEN (NP-C)
NPI
1407237217
Phone
(801) 357-7404
Address
1055 N 300 W STE 400
Enumeration Date
17 June 2015
Last Update Date
14 October 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3853453560
Graduation Year
2015 (11 years ago)
PAC ID
1951610922
Group Practice PAC ID
2365877917
Professional Enrollment ID
I20151014002907
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

Provider Addresses for NAOMI SHEA NIELSEN (NP-C)

  • 1055 N 300 W STE 400

    PROVO, UT 84604

    Phone: (801) 357-7404

    Fax: (801) 357-7587

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $455.

Total Amount is formed as General ($455) + Research ($0) + Ownership ($0) = $455.

Last reported payment date: 2024-03-19 • Largest payer in this snapshot: ABBVIE INC. ($441).

Total Amount

$455

General + Research + Ownership

Payments

16

Total payment records

General Amount

$455

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-19

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2015-10-14

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
I20151014002907INurse 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.

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

Insurance plans in this area (ZIP 84604)

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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: 2365877917View full group profile
NameSpecialtyState
Nurse PractitionerUT
Physician AssistantUT
N E U R O S U R G E R YIL
Physician AssistantUT
Nurse PractitionerUT
N E U R O S U R G E R YUT
Nurse PractitionerUT
Physician AssistantUT
Orthopedic SurgeryUT
Physician AssistantUT

Reviews

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Frequently asked questions

What federal number belongs to NAOMI SHEA NIELSEN (NP-C)?
The federal identifier for NAOMI SHEA NIELSEN (NP-C) is NPI 1407237217.
Does this profile mean NAOMI SHEA NIELSEN (NP-C) is currently active?
Yes — NAOMI SHEA NIELSEN (NP-C) appears active in the national provider directory.
Can you summarize NAOMI SHEA NIELSEN (NP-C)'s specialty in plain language?
Clinically, the directory lists NAOMI SHEA NIELSEN (NP-C) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for NAOMI SHEA NIELSEN (NP-C)?
We surface Provo, Utah for NAOMI SHEA NIELSEN (NP-C) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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