SHANE JAIMEZ (NP) – Family Nurse Practitioner, NPI 1780156661
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,657 NURSE PRACTITIONER in UT
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Provider Addresses for SHANE JAIMEZ (NP)
PO box, Russell Road, Paoli, Tredyffrin Township, Chester County, Pennsylvania, 19301, United States
WEST VALLEY, UT 841701721
Phone: (801) 810-8267
Type: Mailing
5900 South, South Cottonwood Acres, Murray, Salt Lake County, Utah, 84107, United States
MURRAY, UT 841077293
Phone: (385) 275-4673
Type: Location
166 E 5900 S Ste B109
Murray, UT 841077293
Phone: (385) 275-4673
Type: Location
5097 S 900 E STE 100
SALT LAKE CTY, UT 841175725
Phone: (801) 851-5554
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 $122.
Total Amount is formed as General ($122) + Research ($0) + Ownership ($0) = $122.
Last reported payment date: 2024-07-10 • Largest payer in this snapshot: ARGENX US, INC. ($122).
Total Amount
$122
General + Research + Ownership
Payments
1
Total payment records
General Amount
$122
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ARGENX US, INC. | $122 |
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: 2019-10-02
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 |
|---|---|---|---|---|
| I20191002000382 | 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 |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 23 | 23 | $0 |
Insurance plans in this area (ZIP 84170)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | UT | |
| Nurse Practitioner | UT | |
| Clinical Social Worker | UT | |
| Nurse Practitioner | UT | |
| Clinical Social Worker | UT | |
| Nurse Practitioner | UT | |
| Mental Health Counselor | UT | |
| Physician Assistant | UT | |
| Clinical Social Worker | CA |
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