KATHERINE MARIE HADLOCK (PA-C) – Physician Assistant, NPI 1770863862
Physician Assistant
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NPPES metrics only — not quality of care.
1,971 PHYSICIAN ASSISTANT in UT
Provider Addresses for KATHERINE MARIE HADLOCK (PA-C)
819 E Market Place Dr 3rd Floor
Spanish Fork, UT 846608466
Phone: (801) 374-1801
Fax: (801) 216-8357
Type: Location
5150 SAN FRANCISCO RD NE
ALBUQUERQUE, NM 871094640
Phone: (505) 847-4100
Fax: (505) 847-4945
Type: Mailing
PO BOX 27128
SALT LAKE CITY, UT 841270128
Phone: (866) 415-6556
Type: Mailing
527 W 400 N
OREM, UT 840571916
Phone: (801) 714-3570
Type: Location
585 N 500 W
PROVO, UT 846011548
Phone: (801) 374-1801
Fax: (801) 216-8357
Type: Mailing
819 E MARKET PLACE DR 3RD FLOOR
SPANISH FORK, UT 846608466
Phone: (801) 374-1801
Fax: (801) 216-8357
Type: Location
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: 2021-07-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20180809000481 | I | Physician Assistant | NM | TBD |
| I20210706001925 | I | Physician Assistant | 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 84660)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | UT | |
| Nurse Practitioner | UT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | UT | |
| Certified Nurse Midwife (Cnm) | UT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | UT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | UT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | PA | |
| - | UT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | UT |
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