CLINTON SHERRILL ANDERSON (PA-C) – Physician Assistant, NPI 1821592890

CLINTON SHERRILL ANDERSON (PA-C) is a healthcare provider. based in Salt lake city, Utah. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5951888-1206 (UT). The NPI Number for CLINTON SHERRILL ANDERSON (PA-C) is 1821592890

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
CLINTON SHERRILL ANDERSON (PA-C)
NPI
1821592890
Phone
Not provided
Address
PO BOX 27128
Enumeration Date
22 March 2018
Last Update Date
6 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8013144195
Graduation Year
2017 (9 years ago)
PAC ID
7113282609
Group Practice PAC ID
8527090729
Professional Enrollment ID
I20180604003063
Address ID
UT840207174DR11762STXX401

Contacts

Main Contact
https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRReguest_Service
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness95
Years active:8State licenses:1Other names

1,971 PHYSICIAN ASSISTANT in UT

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Provider Addresses for CLINTON SHERRILL ANDERSON (PA-C)

  • PO BOX 27128

    SALT LAKE CITY, UT 841270128

    Phone:

    Type: Mailing

  • 1157, North 300 West, North Park, Pleasant View, Provo, Utah County, Utah, 84604, United States

    PROVO, UT 846046124

    Phone: (801) 357-1200

    Type: Location

  • 875, East 100 South, Nephi, Juab County, Utah, 84648, United States

    NEPHI, UT 846481919

    Phone: (801) 310-1753

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $48.

Total Amount is formed as General ($48) + Research ($0) + Ownership ($0) = $48.

Last reported payment date: 2023-06-28 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($48).

Total Amount

$48

General + Research + Ownership

Payments

2

Total payment records

General Amount

$48

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-28

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
DePuy Synthes Sales Inc.$48
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: 2018-06-04

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
I20180604003063IPhysician AssistantUTTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes2322$0
27447Replacement of knee joint, both sides of knee2221$0
99212Established patient office or other outpatient visit, 10-19 minutes1312$0
View full utilization report →

Insurance plans in this area (ZIP 84127)

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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: 8527090729View full group profile
NameSpecialtyState
Family Practice, Sports MedicineUT
Physician AssistantUT
Hand Surgery, Orthopedic SurgeryUT
Physician AssistantUT
Physician AssistantUT
Nurse PractitionerUT
Orthopedic Surgery, Hand SurgeryUT
Orthopedic SurgeryUT
Physician AssistantUT
Physician AssistantUT

Reviews

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Frequently asked questions

Can I use this page to confirm CLINTON SHERRILL ANDERSON (PA-C)'s NPI?
Yes. CLINTON SHERRILL ANDERSON (PA-C) is listed with NPI 1821592890 in the public NPI dataset.
Does CMS list CLINTON SHERRILL ANDERSON (PA-C) as active?
Yes — CLINTON SHERRILL ANDERSON (PA-C) is active in the NPI listing used on this page.
What taxonomy line describes CLINTON SHERRILL ANDERSON (PA-C)?
For research purposes, treat CLINTON SHERRILL ANDERSON (PA-C) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect CLINTON SHERRILL ANDERSON (PA-C) on a map?
Expect Salt Lake City, Utah as a primary anchor for CLINTON SHERRILL ANDERSON (PA-C) unless the record lists multiple sites.
Is the information about CLINTON SHERRILL ANDERSON (PA-C) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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