AMANDA L SHEFFER (APRN) – Family Nurse Practitioner, NPI 1720632078

AMANDA L SHEFFER (APRN) is a healthcare provider. based in Tooele, Utah. specializing in Family Nurse Practitioner. They hold the professional credentials APRN. They hold a License No. 8420938-4405 (UT). The NPI Number for AMANDA L SHEFFER (APRN) is 1720632078

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA L SHEFFER (APRN)
NPI
1720632078
Phone
(435) 882-2350
Address
2356 N 400 E STE 201
Enumeration Date
25 July 2019
Last Update Date
27 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4358822350
Graduation Year
2019 (7 years ago)
PAC ID
6103154216
Group Practice PAC ID
6406813070
Professional Enrollment ID
I20190828001405

Contacts

Main Contact
Tooele
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:6State licenses:1Other namesUpdated within 12 months

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Provider Addresses for AMANDA L SHEFFER (APRN)

  • North 400 East, Tooele, Tooele County, Utah, 84074, United States

    TOOELE, UT 840743409

    Phone: (435) 882-2350

    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)

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: 2019-08-28

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190828001405INurse PractitionerUTTBD

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.

Verify on CMS Revalidation Lookup Tool

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 84074)

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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: 6406813070View full group profile
NameSpecialtyState
Physician AssistantUT
Physician AssistantUT
Physician AssistantUT

Reviews

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Frequently asked questions

Can I cross-check AMANDA L SHEFFER (APRN) using NPI 1720632078?
NPI 1720632078 belongs to AMANDA L SHEFFER (APRN); compare other details if you need extra assurance.
Is there an active status for AMANDA L SHEFFER (APRN)?
For scheduling context, AMANDA L SHEFFER (APRN) is shown as active in the registry.
What kind of doctor is AMANDA L SHEFFER (APRN)?
AMANDA L SHEFFER (APRN) is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Where in Utah is AMANDA L SHEFFER (APRN) registered?
Use Tooele, Utah as the headline location for AMANDA L SHEFFER (APRN) here.
When was this NPI issued?
Enumeration for AMANDA L SHEFFER (APRN) is noted as July 25, 2019 where the registry provides it.

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