MRS. KIMBERLY LYNN TAGG (FNP-BC) – Family Nurse Practitioner, NPI 1801477286
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,655 NURSE PRACTITIONER in UT
Provider Addresses for MRS. KIMBERLY LYNN TAGG (FNP-BC)
3935 N 75 W
HYDE PARK, UT 843184111
Phone: (435) 770-5626
Type: Location
1415 N 400 E STE A
LOGAN, UT 843417539
Phone: (435) 753-2840
Fax: (435) 787-9422
Type: Mailing
1415 N 400 E
LOGAN, UT 843417539
Phone: (435) 753-2840
Fax: (435) 787-9422
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 18 Open Payments records for all available years, with a total value of $380.
Total Amount is formed as General ($380) + Research ($0) + Ownership ($0) = $380.
Last reported payment date: 2024-10-23 • Largest payer in this snapshot: ABBVIE INC. ($112).
Total Amount
$380
General + Research + Ownership
Payments
18
Total payment records
General Amount
$380
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $112 |
| IDORSIA PHARMACEUTICALS US INC | $68 |
| Amgen Inc. | $45 |
| Paratek Pharmaceuticals, Inc. | $30 |
| Averitas Pharma 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: 2022-08-18
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 |
|---|---|---|---|---|
| I20220818003726 | 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 |
|---|---|---|---|---|
| 96366 | Infusion into a vein for therapy, prevention, or diagnosis, each additional hour | 330 | 28 | $0 |
| 82962 | Blood glucose (sugar) test performed by hand-held instrument | 224 | 25 | $0 |
| 96521 | Refilling and maintenance of portable pump | 195 | 29 | $0 |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | 194 | 29 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 148 | 33 | $0 |
Insurance plans in this area (ZIP 84318)
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