ELISA VELDA WARREN – Psychiatric/Mental Health Nurse Practitioner, NPI 1699357863
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,655 NURSE PRACTITIONER in UT
Provider Addresses for ELISA VELDA WARREN
150 S 400 E
American Fork, UT 840032510
Phone: (801) 984-1717
Type: Location
8153 S 4800 W
West Jordan, UT 840884703
Phone: (801) 984-1717
Type: Location
613 E Fort Union Blvd Ste 104
Midvale, UT 840475531
Phone: (801) 984-1717
Type: Location
PO BOX 742353
ATLANTA, GA 303742353
Phone:
Type: Mailing
1200 E 3900 S
SALT LAKE CITY, UT 841241300
Phone: (801) 268-7111
Fax: (801) 268-7430
Type: Location
613 E FORT UNION BLVD STE 104
MIDVALE, UT 840475531
Phone: (801) 984-1717
Type: Location
1274 W 4505 S
SLC, UT 841233246
Phone: (801) 694-2775
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $322.
Total Amount is formed as General ($322) + Research ($0) + Ownership ($0) = $322.
Last reported payment date: 2024-08-23 • Largest payer in this snapshot: ABBVIE INC. ($322).
Total Amount
$322
General + Research + Ownership
Payments
16
Total payment records
General Amount
$322
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $322 |
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: 2024-09-04
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 |
|---|---|---|---|---|
| I20240904001139 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84003)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| - | GA | |
| P S Y C H I A T R Y | UT | |
| P S Y C H I A T R Y | UT | |
| P S Y C H I A T R Y | GA | |
| P S Y C H I A T R Y | GA | |
| Psychiatry, Neurology | UT | |
| Nurse Practitioner | ID | |
| P S Y C H I A T R Y | ID | |
| P S Y C H I A T R Y | UT |
Reviews
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