MARY DANIELLE KUYKENDALL (PMHNP, APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1609556596
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,655 NURSE PRACTITIONER in UT
Provider Addresses for MARY DANIELLE KUYKENDALL (PMHNP, APRN)
PO BOX 850
OAKLEY, UT 840550801
Phone: (801) 696-2444
Type: Mailing
60 E 3750 S
SOUTH SALT LAKE, UT 841154428
Phone: (801) 486-0911
Fax: (801) 262-3709
Type: Location
22 S State St Ste 1007
Clearfield, UT 840151043
Phone: (801) 344-0030
Fax: (801) 262-3709
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $181.
Total Amount is formed as General ($181) + Research ($0) + Ownership ($0) = $181.
Last reported payment date: 2024-06-10 • Largest payer in this snapshot: ITI, Inc. ($75).
Total Amount
$181
General + Research + Ownership
Payments
7
Total payment records
General Amount
$181
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-10
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2025-05-02
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 |
|---|---|---|---|---|
| I20250502002710 | 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 84055)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WA | |
| Physician Assistant | UT | |
| Clinical Social Worker | UT | |
| Nurse Practitioner | UT | |
| Physician Assistant | UT | |
| - | UT | |
| Family Practice | UT | |
| Physician Assistant | UT | |
| Family Practice | UT | |
| Physician Assistant | UT |
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