MR. CRAIG PENTON (APRN) – Family Nurse Practitioner, NPI 1780037077

MR. CRAIG PENTON (APRN) is a healthcare provider. based in Erda, Utah. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 8295780-3102 (UT). The NPI Number for MR. CRAIG PENTON (APRN) is 1780037077

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
MR. CRAIG PENTON (APRN)
NPI
1780037077
Phone
(435) 224-2634
Address
89 W HIDDEN ACRES LN
Enumeration Date
21 July 2016
Last Update Date
29 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4358843578
Graduation Year
2016 (10 years ago)
PAC ID
7416359757
Group Practice PAC ID
6800700873
Professional Enrollment ID
I20210709000746
Address ID
UT840292501GR822XXSTXX402
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:9State licenses:2Digital endpointsOther names

2,655 NURSE PRACTITIONER in UT

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Provider Addresses for MR. CRAIG PENTON (APRN)

  • 89 W HIDDEN ACRES LN

    ERDA, UT 840745585

    Phone: (435) 224-2634

    Type: Mailing

  • 6799 BRIGHAM CT

    STANSBURY PARK, UT 840743052

    Phone: (435) 224-2634

    Type: Mailing

  • 500, Foothill Drive, Salt Lake City, Salt Lake County, Utah, 84148, United States

    SALT LAKE CITY, UT 841480001

    Phone: (801) 582-1565

    Type: Location

  • 822 E MAIN ST STE 7

    GRANTSVILLE, UT 840292501

    Phone: (435) 884-3578

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $403.

Total Amount is formed as General ($403) + Research ($0) + Ownership ($0) = $403.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABBVIE INC. ($189).

Total Amount

$403

General + Research + Ownership

Payments

15

Total payment records

General Amount

$403

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2021-07-09

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
I20210709000746INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes3522$0
36415Insertion of needle into vein for collection of blood sample3316$0
99213Established patient office or other outpatient visit, 20-29 minutes3320$0
81003Automated urinalysis test1211$0
View full utilization report →

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: 6800700873View full group profile
NameSpecialtyState
Physician AssistantUT
-UT
Physician AssistantTX
Nurse PractitionerUT
General SurgeryUT
Nurse PractitionerUT
Diagnostic RadiologyMT
Nurse Practitioner, Family PracticeUT
-UT
Nurse PractitionerUT

Reviews

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Frequently asked questions

Can I cross-check MR. CRAIG PENTON (APRN) using NPI 1780037077?
NPI 1780037077 belongs to MR. CRAIG PENTON (APRN); compare other details if you need extra assurance.
Is MR. CRAIG PENTON (APRN) still an active registrant?
MR. CRAIG PENTON (APRN) carries an active NPI according to the public dataset.
What expertise is attributed to MR. CRAIG PENTON (APRN)?
MR. CRAIG PENTON (APRN)'s specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MR. CRAIG PENTON (APRN) associated with Erda?
Public fields place MR. CRAIG PENTON (APRN) around Erda, Utah. Always confirm the exact site before visiting.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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