MRS. ANGELA MARIE NICHOLSON KRULL (MD) – Physical Medicine & Rehabilitation Physician, NPI 1649377540
Physical Medicine & Rehabilitation Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
153 PHYSICAL MEDICINE AND REHABILITATION in UT
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Provider Addresses for MRS. ANGELA MARIE NICHOLSON KRULL (MD)
10011, Centennial Parkway, Shops at South Town, Sandy, Salt Lake County, Utah, 84070, United States
SUITE 500
SANDY, UT 840704156
Phone: (801) 676-7627
Fax: (801) 676-7630
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 40 Open Payments records for all available years, with a total value of $1,113.
Total Amount is formed as General ($1,113) + Research ($0) + Ownership ($0) = $1,113.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($183).
Total Amount
$1,113
General + Research + Ownership
Payments
40
Total payment records
General Amount
$1,113
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $183 |
| Boston Scientific Corporation | $163 |
| MML US, Inc. | $138 |
| Vertos Medical, Inc. | $100 |
| Medtronic, Inc. | $74 |
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: 2007-01-09
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 |
|---|---|---|---|---|
| I20070109000586 | I | Physical Medicine And Rehabilitation | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 311 | 37 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 186 | 97 | $0 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 157 | 63 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 117 | 54 | $0 |
| 80305 | Testing for presence of drug, read by direct observation | 37 | 32 | $0 |
Insurance plans in this area (ZIP 84070)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Pain Management, Interventional Pain Management, Physical Medicine And Rehabilitation, Sports Medicine | UT | |
| Physician Assistant | MN | |
| Clinical Psychologist | UT | |
| Physician Assistant | UT | |
| - | UT |
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