DR. ANNEMARIE ROUSSEAU (APRN) – Family Nurse Practitioner, NPI 1477075315
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,655 NURSE PRACTITIONER in UT
Provider Addresses for DR. ANNEMARIE ROUSSEAU (APRN)
405 N 500 W BLDG 1
VERNAL, UT 840781907
Phone: (435) 722-5274
Fax: (435) 247-4207
Type: Location
Uintah Basin Medical Center, 250, West 300 North, Roosevelt, Duchesne County, Utah, 84066, United States
ROOSEVELT, UT 840662336
Phone: (435) 722-6130
Fax: (435) 725-2033
Type: Mailing
2917 S 450 E
NAPLES, UT 840788856
Phone: (435) 828-1468
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 34 Open Payments records for all available years, with a total value of $6,655.
Total Amount is formed as General ($6,655) + Research ($0) + Ownership ($0) = $6,655.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Medtronic, Inc. ($5,979).
Total Amount
$6,655
General + Research + Ownership
Payments
34
Total payment records
General Amount
$6,655
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $5,979 |
| Abbott Laboratories | $218 |
| BETA BIONICS, INC. | $118 |
| Tandem Diabetes Care, Inc. | $116 |
| Corcept Therapeutics | $74 |
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: 2023-09-28
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 |
|---|---|---|---|---|
| I20230928001846 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84078)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | UT | |
| Physician Assistant | UT | |
| General Surgery | UT | |
| H E M A T O L O G Y/ O N C O L O G Y | GA | |
| Medical Oncology, Hematology/Oncology, Internal Medicine | UT | |
| - | UT | |
| Internal Medicine | UT | |
| Physical Medicine And Rehabilitation | UT | |
| O T O L A R Y N G O L O G Y | CO | |
| Family Practice | UT |
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