GABRIEL HEATON (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1548142391

GABRIEL HEATON (PMHNP) is a healthcare provider. based in Pleasant grove, Utah. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. 1 (UT). The NPI Number for GABRIEL HEATON (PMHNP) is 1548142391

Main info

Male
1 Year Of Experience
Accepts Medicare Assignment
Name
GABRIEL HEATON (PMHNP)
NPI
1548142391
Phone
(801) 477-7189
Address
1221 S VALLEY GROVE WAY STE 160
Enumeration Date
23 July 2025
Last Update Date
1 June 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8014777189
Graduation Year
2025 (1 year ago)
PAC ID
1557856051
Group Practice PAC ID
6406228220
Professional Enrollment ID
I20251222003248
Address ID
UT840626758PL1221XWAYX509
Data current as of
10 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

2,657 NURSE PRACTITIONER in UT

Provider Addresses for GABRIEL HEATON (PMHNP)

  • 1221 S VALLEY GROVE WAY STE 160

    PLEASANT GROVE, UT 840626758

    Phone: (801) 477-7189

    Type: Mailing

  • 283 N 300 W STE 504

    KAYSVILLE, UT 840371881

    Phone: (801) 252-6044

    Fax: (385) 298-4053

    Type: Mailing

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: 2025-12-22

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
I20251222003248INurse 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 84062)

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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: 6406228220View full group profile
NameSpecialtyState
Nurse PractitionerUT
Nurse PractitionerNV
Physician AssistantUT
Nurse PractitionerUT
P S Y C H I A T R YCA
Physician AssistantUT
Clinical Social WorkerUT
Physician AssistantUT
Nurse PractitionerUT

Reviews

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Frequently asked questions

Where can patients find GABRIEL HEATON (PMHNP)'s NPI?
You can confirm GABRIEL HEATON (PMHNP) with NPI 1548142391; it appears in the national provider directory.
Does this profile mean GABRIEL HEATON (PMHNP) is currently active?
Yes — GABRIEL HEATON (PMHNP) appears active in the national provider directory.
Can you summarize GABRIEL HEATON (PMHNP)'s specialty in plain language?
Clinically, the directory lists GABRIEL HEATON (PMHNP) with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is GABRIEL HEATON (PMHNP)'s primary listing?
We display Pleasant Grove, Utah because that is what the record indicates for GABRIEL HEATON (PMHNP).
How can I contact GABRIEL HEATON (PMHNP)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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