EMILY CAROLINE NELSON (NP) – Women's Health Nurse Practitioner, NPI 1417737172

EMILY CAROLINE NELSON (NP) is a healthcare provider. based in Tooele, Utah. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 11549817-4405 (UT). The NPI Number for EMILY CAROLINE NELSON (NP) is 1417737172

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
EMILY CAROLINE NELSON (NP)
NPI
1417737172
Phone
(503) 880-7088
Address
5457 WINDSOR WAY
Enumeration Date
2 October 2023
Last Update Date
30 December 2024

Doctor Profile

Medical School Name
VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4358437181
Graduation Year
2023 (3 years ago)
PAC ID
4284162280
Group Practice PAC ID
6800700873
Professional Enrollment ID
I20250103001516
Address ID
UT840749335TO196XX2000303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

2,655 NURSE PRACTITIONER in UT

Provider Addresses for EMILY CAROLINE NELSON (NP)

  • 5457 WINDSOR WAY

    TOOELE, UT 840748163

    Phone: (503) 880-7088

    Type: Mailing

  • 1881 W TRAVERSE PKWY STE D

    LEHI, UT 840435994

    Phone: (385) 250-3555

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-01-03

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
I20250103001516INurse 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 84074)

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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: 6800700873View full group profile
NameSpecialtyState
Physician AssistantUT
-UT
Physician AssistantTX
Nurse PractitionerUT
General SurgeryUT
Nurse PractitionerUT
Diagnostic RadiologyMT
Nurse Practitioner, Family PracticeUT
-UT
Physician AssistantUT

Reviews

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Frequently asked questions

Is there an official ID for EMILY CAROLINE NELSON (NP) in U.S. healthcare records?
The official identifier for EMILY CAROLINE NELSON (NP) is NPI 1417737172.
Would EMILY CAROLINE NELSON (NP) appear as active to a payer?
You can treat EMILY CAROLINE NELSON (NP) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe EMILY CAROLINE NELSON (NP)'s focus?
For EMILY CAROLINE NELSON (NP), the primary taxonomy reads as Women's Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is EMILY CAROLINE NELSON (NP) associated with Tooele?
Public fields place EMILY CAROLINE NELSON (NP) around Tooele, Utah. Always confirm the exact site before visiting.
Does EMILY CAROLINE NELSON (NP) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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