KATHLEEN G MILLER-ANDERSEN (APRN, PMHNP-BC) – Advanced Practice Midwife, NPI 1740221738
Advanced Practice Midwife
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
113 CERTIFIED NURSE MIDWIFE (CNM) in UT
Provider Addresses for KATHLEEN G MILLER-ANDERSEN (APRN, PMHNP-BC)
1140 E 3900 S STE 340
SALT LAKE CITY, UT 841241244
Phone: (801) 743-4730
Fax: (801) 653-2747
Type: Mailing
5770 S 250 E Ste 300
Murray, UT 841078110
Phone: (801) 314-2600
Type: Location
2814 S BEVERLY ST
SALT LAKE CITY, UT 841063125
Phone: (801) 608-7392
Type: Mailing
409 W 400 S
SALT LAKE CITY, UT 841011135
Phone: (801) 364-0058
Fax: (801) 364-0161
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $26.
Total Amount is formed as General ($26) + Research ($0) + Ownership ($0) = $26.
Last reported payment date: 2023-04-13 • Largest payer in this snapshot: ABBVIE INC. ($26).
Total Amount
$26
General + Research + Ownership
Payments
1
Total payment records
General Amount
$26
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-04-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $26 |
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: 2005-10-06
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 |
|---|---|---|---|---|
| I20051006000505 | I | Certified Nurse Midwife (Cnm) | 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 84124)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | UT | |
| Mental Health Counselor | UT | |
| Physician Assistant | UT | |
| Nurse Practitioner | UT | |
| Family Practice | UT | |
| Family Practice | UT | |
| Nurse Practitioner | UT | |
| Physician Assistant | GA | |
| Family Practice | UT | |
| Mental Health Counselor | MI |
Reviews
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