DIANA SULLIVAN NEFF (PMHNP) – Nurse Practitioner, NPI 1699120113
Nurse Practitioner
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
2,657 NURSE PRACTITIONER in UT
Provider Addresses for DIANA SULLIVAN NEFF (PMHNP)
1401 N 1075 W Ste 240
Farmington, UT 840252745
Phone: (801) 613-8178
Fax: (801) 992-1218
Type: Location
6348 W Emerald St
Boise, ID 837048732
Phone: (208) 302-0900
Fax: (208) 302-0955
Type: Location
240, School Road, Farmington, Kings County, Prince Edward Island, Canada
FARMINGTON, UT 840252745
Phone: (801) 613-8178
Fax: (801) 992-1218
Type: Location
PO BOX 9
NAMPA, ID 836530009
Phone: (208) 461-7149
Fax: (208) 466-5359
Type: Mailing
808 CLEVELAND BLVD
CALDWELL, ID 836054168
Phone: (208) 459-1025
Fax: (208) 466-5359
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: 2021-05-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20180523002326 | I | Nurse Practitioner | UT | TBD |
| I20210528001594 | I | Nurse Practitioner | ID | 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 | 104 | 34 | $0 |
Insurance plans in this area (ZIP 84025)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | CA | |
| - | ID | |
| Family Practice | ID | |
| - | ID | |
| Physician Assistant | ID | |
| Physician Assistant | ID | |
| Nurse Practitioner | TX | |
| - | ID | |
| - | ID | |
| Family Practice | ID |
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