CAMERAN RACHELLE WILSON (FNP-C) – Family Nurse Practitioner, NPI 1730734203
Family Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
2,657 NURSE PRACTITIONER in UT
Provider Addresses for CAMERAN RACHELLE WILSON (FNP-C)
2850 N 2000 W Ste 201
Farr West, UT 844049230
Phone: (801) 866-0170
Fax: (801) 866-0169
Type: Location
950 S 500 W Ste 103
Brigham City, UT 843024719
Phone: (801) 866-0170
Fax: (801) 866-0169
Type: Location
Revere Health, 1055, North 500 West, North Park, Provo, Utah County, Utah, 84604, United States
ATT: CREDENTIALING
PROVO, UT 84604
Phone: (801) 354-8225
Fax: (801) 418-0941
Type: Mailing
5896 S RIDGELINE DR STE B
SOUTH OGDEN, UT 844054928
Phone: (801) 866-0170
Fax: (801) 866-0169
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 20 Open Payments records for all available years, with a total value of $407.
Total Amount is formed as General ($407) + Research ($0) + Ownership ($0) = $407.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Grifols USA, LLC ($117).
Total Amount
$407
General + Research + Ownership
Payments
20
Total payment records
General Amount
$407
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2019-11-14
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 |
|---|---|---|---|---|
| I20191114000059 | 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 |
|---|---|---|---|---|
| 95117 | Professional service for multiple injections of allergen | 440 | 41 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 156 | 110 | $0 |
| 95165 | Professional service for preparation and provision of 1 or more antigens | 150 | 13 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 61 | 49 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 45 | 45 | $0 |
Insurance plans in this area (ZIP 84404)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | UT | |
| - | UT | |
| Physical Therapist In Private Practice | UT | |
| Orthopedic Surgery | UT | |
| Nurse Practitioner | OR | |
| - | FL | |
| - | UT | |
| - | UT | |
| Nurse Practitioner | UT | |
| - | UT |
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