JOSHUA TY WINTERS – Physician Assistant, NPI 1538760061

JOSHUA TY WINTERS is a healthcare provider. based in Tooele, Utah. specializing in PHYSICIAN ASSISTANT. They hold a License No. 8425920-1206 (UT). The NPI Number for JOSHUA TY WINTERS is 1538760061

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
JOSHUA TY WINTERS
NPI
1538760061
Phone
(435) 830-6110
Address
2321 N 400 E STE 200
Enumeration Date
2 November 2020
Last Update Date
2 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8012668841
Graduation Year
2021 (5 years ago)
PAC ID
2769870005
Group Practice PAC ID
1557392313
Professional Enrollment ID
I20211019002384
Address ID
UT840091288SO4040XPKWY401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,971 PHYSICIAN ASSISTANT in UT

Provider Addresses for JOSHUA TY WINTERS

  • 2321 N 400 E STE 200

    TOOELE, UT 840743440

    Phone: (435) 830-6110

    Type: Mailing

  • 3691 W PURE NIRVANA LN

    HERRIMAN, UT 840962617

    Phone: (801) 762-7990

    Type: Mailing

  • 680 E MAIN ST STE 201

    LEHI, UT 840432251

    Phone: (801) 768-8800

    Fax: (801) 820-8200

    Type: Mailing

  • 24 W SERGEANT COURT DR

    SARATOGA SPRINGS, UT 840455807

    Phone: (801) 768-8800

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 121 Open Payments records for all available years, with a total value of $4,219.

Total Amount is formed as General ($4,219) + Research ($0) + Ownership ($0) = $4,219.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Arcutis Biotherapeutics, Inc. ($1,081).

Total Amount

$4,219

General + Research + Ownership

Payments

121

Total payment records

General Amount

$4,219

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

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: 2021-10-19

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
I20211019002384IPhysician 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 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: 1557392313View full group profile
NameSpecialtyState
Physician AssistantDC
Physician AssistantUT
D E R M A T O L O G YUT
D E R M A T O L O G YUT
D E R M A T O L O G YUT
D E R M A T O L O G YUT
Physician AssistantUT
Physician AssistantUT
D E R M A T O L O G YUT

Reviews

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Frequently asked questions

Does JOSHUA TY WINTERS have a public NPI I can cite?
Public records show JOSHUA TY WINTERS under NPI 1538760061.
Does the public listing show JOSHUA TY WINTERS as active?
JOSHUA TY WINTERS's NPI record reflects an active status in NPPES.
What type of care does JOSHUA TY WINTERS provide?
JOSHUA TY WINTERS's profile centers on Physician Assistant. Clinical services aligned with this taxonomy classification.
Is JOSHUA TY WINTERS tied to Tooele, Utah?
If you are local to Tooele, Utah, JOSHUA TY WINTERS may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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