MR. DAVID AARON NYDEGGER (PA) – Physician Assistant, NPI 1609818137

MR. DAVID AARON NYDEGGER (PA) is a healthcare provider. based in Bountiful, Utah. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA-541 (ID). The NPI Number for MR. DAVID AARON NYDEGGER (PA) is 1609818137

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
MR. DAVID AARON NYDEGGER (PA)
NPI
1609818137
Phone
(208) 359-0901
Address
390 N MAIN
Enumeration Date
11 June 2006
Last Update Date
17 April 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2004 (22 years ago)
PAC ID
3274572912
Group Practice PAC ID
1850209420
Professional Enrollment ID
I20071025000010
Address ID
UT841111486SA36XXXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,971 PHYSICIAN ASSISTANT in UT

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Provider Addresses for MR. DAVID AARON NYDEGGER (PA)

  • Village on Main Street, 1525, Bountiful, Davis County, Utah, 84010, United States

    BOUNTIFUL, UT 84010

    Phone: (208) 359-0901

    Fax: (208) 359-0928

    Type: Mailing

  • 54, North 800 West, Snow, Salt Lake City, Salt Lake County, Utah, 84116, United States

    SALT LAKE CITY, UT 841163326

    Phone: (208) 359-0901

    Fax: (208) 359-0928

    Type: Location

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: 2007-10-25

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
I20071025000010IPhysician 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 minutes6235$0
99213Established patient office or other outpatient visit, 20-29 minutes1816$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1111$0
View full utilization report →

Insurance plans in this area (ZIP 84010)

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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: 1850209420View full group profile

Reviews

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Frequently asked questions

What NPI should I save for MR. DAVID AARON NYDEGGER (PA)?
Save NPI 1609818137 if you need a stable reference for MR. DAVID AARON NYDEGGER (PA).
Does this profile mean MR. DAVID AARON NYDEGGER (PA) is currently active?
Yes — MR. DAVID AARON NYDEGGER (PA) appears active in the national provider directory.
What field does MR. DAVID AARON NYDEGGER (PA) work in?
You can think of MR. DAVID AARON NYDEGGER (PA) as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
What location shows for MR. DAVID AARON NYDEGGER (PA)?
We surface Bountiful, Utah for MR. DAVID AARON NYDEGGER (PA) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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