SHELLY EBERT (F.N.P.) – Nurse Practitioner, NPI 1659307809
Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for SHELLY EBERT (F.N.P.)
PO BOX 27128
SALT LAKE CITY, UT 841270128
Phone: (801) 855-2900
Fax: (801) 855-2929
Type: Mailing
1159, East 200 North, American Fork, Utah County, Utah, 84003, United States
#150
AMERICAN FORK, UT 840032022
Phone: (801) 855-2900
Fax: (801) 855-2929
Type: Location
10968 N ALPINE HWY
HIGHLAND, UT 840038874
Phone: (801) 763-2900
Fax: (801) 763-2929
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $91.
Total Amount is formed as General ($91) + Research ($0) + Ownership ($0) = $91.
Last reported payment date: 2024-07-25 • Largest payer in this snapshot: Exeltis, USA Inc. ($29).
Total Amount
$91
General + Research + Ownership
Payments
4
Total payment records
General Amount
$91
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Exeltis, USA Inc. | $29 |
| Axonics, Inc. | $22 |
| Abbott Laboratories | $22 |
| Lilly USA, LLC | $17 |
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: 2006-08-30
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 |
|---|---|---|---|---|
| I20060830000441 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 117 | 64 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 69 | 65 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 69 | 69 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 22 | 13 | $0 |
| 81003 | Automated urinalysis test | 20 | 13 | $0 |
Insurance plans in this area (ZIP 84127)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| Diagnostic Radiology | UT | |
| Family Practice | UT | |
| H O S P I T A L I S T | UT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | UT | |
| - | UT | |
| - | UT | |
| - | UT | |
| Family Practice | UT | |
| - | UT |
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