VENICE LUCIA WILKES (PA-C) – Physician Assistant, NPI 1821596073
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
1,972 PHYSICIAN ASSISTANT in UT
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Provider Addresses for VENICE LUCIA WILKES (PA-C)
PO BOX 27128
SALT LAKE CITY, UT 841270128
Phone:
Fax: (801) 418-0941
Type: Mailing
220, West 800 North, Orem Station, Orem, Utah County, Utah, 84057, United States
Orem, UT 84057
Phone: (385) 203-1250
Type: Location
1175 E 50 S Ste 241
American Fork, UT 840032849
Phone: (801) 812-5033
Fax: (801) 812-5034
Type: Location
5000 Blackmore Rd
Casper, WY 826093345
Phone: (307) 233-6000
Fax: (307) 233-6089
Type: Location
925 W Birch St
Glenrock, WY 826375079
Phone: (307) 436-9206
Type: Location
1055 N 500 W Bldg A
Provo, UT 846043305
Phone: (801) 354-8225
Fax: (801) 418-0941
Type: Location
Revere Health, 1055, North 500 West, North Park, Provo, Utah County, Utah, 84604, United States
ATTN CREDENTIALING
PROVO, UT 846043305
Phone: (801) 354-8225
Fax: (801) 418-0941
Type: Mailing
412 N 200 E
LOGAN, UT 843214038
Phone: (435) 713-2710
Type: Location
925 W BIRCH ST
GLENROCK, WY 826375079
Phone: (307) 436-9206
Fax: (801) 418-0941
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 $46.
Total Amount is formed as General ($46) + Research ($0) + Ownership ($0) = $46.
Last reported payment date: 2024-03-21 • Largest payer in this snapshot: Exact Sciences Corporation ($25).
Total Amount
$46
General + Research + Ownership
Payments
2
Total payment records
General Amount
$46
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Exact Sciences Corporation | $25 |
| Edwards Lifesciences Corporation | $21 |
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: 2020-11-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20190607000361 | I | Physician Assistant | UT | TBD |
| I20201123002207 | I | Physician Assistant | WY | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84127)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| Diagnostic Radiology | UT | |
| Family Practice | UT | |
| H O S P I T A L I S T | UT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | UT | |
| - | UT | |
| - | UT | |
| - | UT | |
| Family Practice | UT | |
| - | UT |
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