ELIZABETH ELOUISE WILLMORE (FNP) – Primary Care Nurse Practitioner, NPI 1730788761
Primary Care Nurse Practitioner
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
2,655 NURSE PRACTITIONER in UT
Provider Addresses for ELIZABETH ELOUISE WILLMORE (FNP)
2965 W 3500 S
WEST VALLEY CITY, UT 841193602
Phone: (801) 965-3600
Type: Mailing
1055 N 500 W
ATT CREDENTIALING
PROVO, UT 846043305
Phone: (801) 354-8225
Fax: (801) 418-0941
Type: Mailing
972 N 600 E
Spanish Fork, UT 846601306
Phone: (801) 465-4896
Fax: (801) 465-3267
Type: Location
7181 S CAMPUS VIEW DR STE 200
WEST JORDAN, UT 840844312
Phone: (801) 965-3505
Type: Mailing
12391 S 4000 W
RIVERTON, UT 840967012
Phone: (801) 302-1700
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 130 Open Payments records for all available years, with a total value of $2,575.
Total Amount is formed as General ($2,575) + Research ($0) + Ownership ($0) = $2,575.
Last reported payment date: 2024-10-24 • Largest payer in this snapshot: ABBVIE INC. ($1,019).
Total Amount
$2,575
General + Research + Ownership
Payments
130
Total payment records
General Amount
$2,575
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,019 |
| Lilly USA, LLC | $164 |
| AstraZeneca Pharmaceuticals LP | $159 |
| Supernus Pharmaceuticals, Inc. | $142 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $109 |
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: 2020-10-30
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 |
|---|---|---|---|---|
| I20201030000362 | 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 | 97 | 51 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 25 | 25 | $0 |
| G0009 | Administration of pneumococcal vaccine | 17 | 17 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 14 | 13 | $0 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 12 | 12 | $0 |
Insurance plans in this area (ZIP 84119)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | UT | |
| U R O L O G Y | UT | |
| - | UT | |
| Pain Management | UT | |
| Physician Assistant | UT | |
| - | UT | |
| Sports Medicine, Family Practice | UT | |
| - | UT | |
| Family Practice | UT | |
| Internal Medicine | UT |
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