MARK DUWAYNE DEIS – Family Nurse Practitioner, NPI 1821752676

MARK DUWAYNE DEIS is a healthcare provider. based in Clinton, Utah. specializing in NURSE PRACTITIONER. They hold a License No. 56634973102 (UT). The NPI Number for MARK DUWAYNE DEIS is 1821752676

Main info

Male
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
MARK DUWAYNE DEIS
NPI
1821752676
Phone
(801) 528-4033
Address
1448 N 2000 W Ste 3
Enumeration Date
27 October 2021
Last Update Date
18 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8017167008
Graduation Year
2022 (4 years ago)
PAC ID
5799968483
Group Practice PAC ID
5991606329
Professional Enrollment ID
I20221207002912
Address ID
UT841232985MU434XXWAYX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:4State licenses:2Digital endpointsOther names

2,655 NURSE PRACTITIONER in UT

Provider Addresses for MARK DUWAYNE DEIS

  • 1448 N 2000 W Ste 3

    Clinton, UT 840158388

    Phone: (801) 528-4033

    Type: Location

  • 6154 S 2175 E

    OGDEN, UT 844035354

    Phone: (801) 726-3738

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $186.

Total Amount is formed as General ($186) + Research ($0) + Ownership ($0) = $186.

Last reported payment date: 2024-03-21 • Largest payer in this snapshot: Merz North America, Inc. ($91).

Total Amount

$186

General + Research + Ownership

Payments

3

Total payment records

General Amount

$186

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

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: 2024-09-30

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221207002912INurse PractitionerUTTBD
I20240930003988INurse PractitionerFLTBD

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
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes12656$0
99454Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days3312$0
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes3215$0
G0181Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow2916$0
99497Advance care planning, first 30 minutes1914$0
View full utilization report →

Insurance plans in this area (ZIP 84015)

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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: 5991606329View full group profile
NameSpecialtyState
Physician AssistantNC
Nurse PractitionerUT
Nurse PractitionerUT
Nurse PractitionerUT
-UT
Nurse PractitionerUT
Nurse PractitionerUT
-UT
Nurse PractitionerUT
Nurse PractitionerUT

Reviews

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Frequently asked questions

What is the registry number for MARK DUWAYNE DEIS?
The registry entry for MARK DUWAYNE DEIS shows NPI 1821752676.
Is MARK DUWAYNE DEIS's NPI status active today?
Active status means MARK DUWAYNE DEIS's NPI record is not deactivated in the public file.
What does the directory say MARK DUWAYNE DEIS does?
Insurance directories may phrase it differently, but here MARK DUWAYNE DEIS maps to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to MARK DUWAYNE DEIS?
MARK DUWAYNE DEIS shows a connection to Clinton, Utah in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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