NANCY W. MORTENSEN (A.P.R.N.) – Nurse Practitioner, NPI 1841249380
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,655 NURSE PRACTITIONER in UT
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Provider Addresses for NANCY W. MORTENSEN (A.P.R.N.)
1121, 3900 South, Millcreek, Salt Lake County, Utah, 84124, United States
SUITE C-240
SALT LAKE CITY, UT 841241214
Phone: (801) 266-0878
Fax: (801) 266-2074
Type: Mailing
Utah Valley Hospital, 1034, North 500 West, North Park, Provo, Utah County, Utah, 84604, United States
PROVO, UT 846043380
Phone: (801) 357-8200
Fax: (801) 357-8201
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 74 Open Payments records for all available years, with a total value of $1,705.
Total Amount is formed as General ($1,705) + Research ($0) + Ownership ($0) = $1,705.
Last reported payment date: 2024-12-27 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($359).
Total Amount
$1,705
General + Research + Ownership
Payments
74
Total payment records
General Amount
$1,705
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novartis Pharmaceuticals Corporation | $359 |
| Daiichi Sankyo Inc. | $231 |
| Merck Sharp & Dohme LLC | $156 |
| AstraZeneca Pharmaceuticals LP | $132 |
| Eisai Inc. | $80 |
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: 2003-12-10
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 |
|---|---|---|---|---|
| I20031210001178 | 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 |
|---|---|---|---|---|
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 96 | 56 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 80 | 52 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 50 | 31 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 45 | 32 | $0 |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | 38 | 14 | $0 |
Insurance plans in this area (ZIP 84124)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | UT | |
| Radiation Oncology | UT | |
| - | UT | |
| Nurse Practitioner | UT | |
| Medical Oncology | UT | |
| Medical Oncology, Hematology | UT | |
| Medical Oncology, Internal Medicine | UT | |
| Radiation Oncology | UT | |
| H E M A T O L O G Y/ O N C O L O G Y | UT | |
| Nurse Practitioner | UT |
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