ADRIENNE L NELSON (PA-C) – Physician Assistant, NPI 1477105732

ADRIENNE L NELSON (PA-C) is a healthcare provider. based in Spanish fork, Utah. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 122924061206 (UT). The NPI Number for ADRIENNE L NELSON (PA-C) is 1477105732

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
ADRIENNE L NELSON (PA-C)
NPI
1477105732
Phone
(801) 857-7260
Address
62 N 920 W
Enumeration Date
16 July 2019
Last Update Date
25 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8017630901
Graduation Year
2020 (6 years ago)
PAC ID
0446649172
Group Practice PAC ID
1153306360
Professional Enrollment ID
I20211117002644
Address ID
UT840974144OR498XX800X301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

1,972 PHYSICIAN ASSISTANT in UT

Provider Addresses for ADRIENNE L NELSON (PA-C)

  • 62 N 920 W

    SPANISH FORK, UT 846602080

    Phone: (801) 857-7260

    Type: Mailing

  • 212 S 1100 E

    AMERICAN FORK, UT 840032829

    Phone: (801) 763-0901

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 275 Open Payments records for all available years, with a total value of $4,497.

Total Amount is formed as General ($4,497) + Research ($0) + Ownership ($0) = $4,497.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($1,262).

Total Amount

$4,497

General + Research + Ownership

Payments

275

Total payment records

General Amount

$4,497

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2021-11-17

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
I20211117002644IPhysician 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes1413$0
View full utilization report →

Insurance plans in this area (ZIP 84660)

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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: 1153306360View full group profile
NameSpecialtyState
Physician AssistantUT
N E U R O L O G YUT
Physician AssistantUT
N E U R O L O G YUT

Reviews

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Frequently asked questions

What unique ID ties claims to ADRIENNE L NELSON (PA-C)?
NPI 1477105732 is assigned to ADRIENNE L NELSON (PA-C) under the national enumeration system.
Does this profile mean ADRIENNE L NELSON (PA-C) is currently active?
Yes — ADRIENNE L NELSON (PA-C) appears active in the national provider directory.
What kind of provider is ADRIENNE L NELSON (PA-C)?
The page reflects Physician Assistant for ADRIENNE L NELSON (PA-C). Clinical services aligned with this taxonomy classification.
Where is ADRIENNE L NELSON (PA-C)'s primary listing?
We display Spanish Fork, Utah because that is what the record indicates for ADRIENNE L NELSON (PA-C).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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