DR. DALLAS BOWLES – Psychiatric/Mental Health Nurse Practitioner, NPI 1588154124
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
2,655 NURSE PRACTITIONER in UT
Provider Addresses for DR. DALLAS BOWLES
1883 W ROYAL HUNTE DR STE 200
CEDAR CITY, UT 847204081
Phone:
Type: Mailing
The Big Black Box, Murray Street, Uptown, Port of Spain, 190130, Trinidad and Tobago
MURRAY, UT 841572070
Phone:
Type: Mailing
1020 S Main St
Salt Lake City, UT 841013176
Phone: (888) 949-4864
Type: Location
Salt Lake City, Salt Lake County, Utah, United States
SALT LAKE CITY, UT 841013176
Phone: (888) 949-4864
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $691.
Total Amount is formed as General ($691) + Research ($0) + Ownership ($0) = $691.
Last reported payment date: 2023-11-30 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($244).
Total Amount
$691
General + Research + Ownership
Payments
6
Total payment records
General Amount
$691
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Otsuka America Pharmaceutical, Inc. | $244 |
| Janssen Pharmaceuticals, Inc | $229 |
| Axsome Therapeutics, Inc. | $122 |
| ITI, Inc. | $96 |
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: 2019-03-15
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 |
|---|---|---|---|---|
| I20190315000331 | 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 84720)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | UT | |
| Nurse Practitioner | DE | |
| Physician Assistant | MI | |
| Clinical Social Worker | UT | |
| Physician Assistant | UT | |
| Nurse Practitioner | UT | |
| - | UT | |
| P S Y C H I A T R Y | UT | |
| Clinical Social Worker | CO | |
| Clinical Social Worker | UT |
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