JEANNETTE M PROCTOR (ARNP) – Obstetrics & Gynecology Nurse Practitioner, NPI 1619081700

Obstetrics & Gynecology Nurse Practitioner

JEANNETTE M PROCTOR (ARNP) is a healthcare provider. based in Salt lake city, Utah. specializing in Obstetrics & Gynecology Nurse Practitioner. They hold the professional credentials ARNP. They hold a License No. RN00084815 (WA). The NPI Number for JEANNETTE M PROCTOR (ARNP) is 1619081700

Main info

Female

23 Years Of Experience

Accepts Medicare Assignment

Name

JEANNETTE M PROCTOR (ARNP)

NPI

1619081700

Phone

(206) 320-4476

Address

PO BOX 25608

Enumeration Date

18 August 2006

Last Update Date

27 August 2018

Doctor Profile

Medical School Name

OTHER

Secondary Phone

2062156300

Graduation Year

2003 (23 years ago)

PAC ID

7113088634

Group Practice PAC ID

9537072814

Professional Enrollment ID

I20081202000827

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience66

Completeness75

Years active:19State licenses:2Digital endpointsOther names

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Provider Addresses for JEANNETTE M PROCTOR (ARNP)

PO BOX 25608
SALT LAKE CITY, UT 841250608
Phone: (206) 320-4476
Fax: (206) 568-7043
Type: Mailing
700, Madison Street, Central Business District, First Hill, Seattle, King County, Washington, 98104, United States
SEATTLE, WA 98104
Phone: (206) 215-6300
Fax: (206) 215-6301
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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 84125)

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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: 9537072814View full group profile

Name	Specialty	State
DR. RICHARD STCYR (MD)	-	UT
SANDY MA (M.D.)	-	WA
FREDERICK B. SMITH (MD)	-	WA
KYLE J BENNER (M.D.)	-	UT
DR. ANTHONY SCOTT BARNETT (MD)	-	UT
AMYE M HADLEY (ND, ARNP)	-	WA
MARGARET NKECHI TOWOLAWI (M.D)	-	WA
REBECCA S DUKE (MD)	-	WA
MICHAEL A TOOLEY (PA-C)	-	WA
MS. JEANNIE CHIA HUI CHANG (PA-C, MPAS)	Physician Assistant	UT

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Frequently asked questions

Can I verify JEANNETTE M PROCTOR (ARNP) with an NPI only?

You can start verification with NPI 1619081700 for JEANNETTE M PROCTOR (ARNP), then check state licensing separately.

Does CMS list JEANNETTE M PROCTOR (ARNP) as active?

Yes — JEANNETTE M PROCTOR (ARNP) is active in the NPI listing used on this page.

What is JEANNETTE M PROCTOR (ARNP)'s primary classification?

Obstetrics & Gynecology Nurse Practitioner is the headline specialty for JEANNETTE M PROCTOR (ARNP) here. Clinical services aligned with this taxonomy classification.

Does JEANNETTE M PROCTOR (ARNP) list a practice location?

Patients near Salt Lake City, Utah may find JEANNETTE M PROCTOR (ARNP) in results; validate coverage separately.

How many locations tie to this NPI?

2 practice locations appear in the available data.