TRACI MICHELLE ALLISON (FNP) – Nurse Practitioner, NPI 1801448790
Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
2,655 NURSE PRACTITIONER in UT
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Provider Addresses for TRACI MICHELLE ALLISON (FNP)
5640, South 3500 West, Roy, Weber County, Utah, 84067, United States
ROY, UT 84067
Phone: (801) 773-2838
Fax: (801) 773-3025
Type: Location
Revere Health, 1055, North 500 West, North Park, Provo, Utah County, Utah, 84604, United States
ATTN CREDENTIALING
PROVO, UT 84604
Phone: (801) 354-8225
Fax: (801) 418-0941
Type: Mailing
PO BOX 5546
DENVER, CO 802175546
Phone: (801) 475-3500
Fax: (801) 475-3494
Type: Mailing
991 SHEPARD LN STE 200
FARMINGTON, UT 840252974
Phone: (801) 397-6080
Fax: (801) 397-6081
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 51 Open Payments records for all available years, with a total value of $1,029.
Total Amount is formed as General ($1,029) + Research ($0) + Ownership ($0) = $1,029.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($224).
Total Amount
$1,029
General + Research + Ownership
Payments
51
Total payment records
General Amount
$1,029
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $224 |
| AstraZeneca Pharmaceuticals LP | $117 |
| ViiV Healthcare Company | $69 |
| Novo Nordisk Inc | $48 |
| PFIZER INC. | $44 |
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: 2019-11-13
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 |
|---|---|---|---|---|
| I20191113000769 | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 20 | 18 | $0 |
Insurance plans in this area (ZIP 84067)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | CO | |
| Family Practice | CA | |
| Physician Assistant | UT | |
| Physician Assistant | WA | |
| Family Practice | CO | |
| Family Practice | CO | |
| Physician Assistant | NC | |
| Physical Therapist In Private Practice | CO | |
| Physician Assistant | CO | |
| Family Practice | CO |
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