AMMON LOTT (NP) – Nurse Practitioner, NPI 1902489032

AMMON LOTT (NP) is a healthcare provider. based in Provo, Utah. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 9801445-4405 (UT). The NPI Number for AMMON LOTT (NP) is 1902489032

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
AMMON LOTT (NP)
NPI
1902489032
Phone
(801) 223-4860
Address
280 River Park Dr Ste 200
Enumeration Date
5 May 2021
Last Update Date
21 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8018125591
Graduation Year
2021 (5 years ago)
PAC ID
3173928256
Group Practice PAC ID
7517868508
Professional Enrollment ID
I20210827001544
Address ID
UT846067311PR512XXPKWY400

Contacts

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

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness95
Years active:5State licenses:1Other names

2,655 NURSE PRACTITIONER in UT

Provider Addresses for AMMON LOTT (NP)

  • 280 River Park Dr Ste 200

    Provo, UT 846045793

    Phone: (801) 223-4860

    Type: Location

  • PO BOX 251

    SPRINGVILLE, UT 846630251

    Phone:

    Type: Mailing

  • 280 RIVER PARK DR STE 200

    PROVO, UT 846045793

    Phone: (801) 223-4860

    Type: Location

  • 972 N 600 E

    Spanish Fork, UT 846601306

    Phone: (801) 465-4896

    Fax: (801) 465-3267

    Type: Location

  • PO BOX 27128

    SALT LAKE CITY, UT 841270128

    Phone:

    Type: Mailing

  • 395 W BULLDOG BLVD

    PROVO, UT 846043311

    Phone: (801) 357-7081

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 35 Open Payments records for all available years, with a total value of $624.

Total Amount is formed as General ($624) + Research ($0) + Ownership ($0) = $624.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: ABBVIE INC. ($292).

Total Amount

$624

General + Research + Ownership

Payments

35

Total payment records

General Amount

$624

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-26

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: 2021-08-27

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
I20210827001544INurse PractitionerUTTBD

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 minutes8783$0
99214Established patient office or other outpatient visit, 30-39 minutes2322$0
81003Automated urinalysis test1716$0
View full utilization report →

Insurance plans in this area (ZIP 84604)

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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: 7517868508View full group profile

Reviews

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Frequently asked questions

How do payers reference AMMON LOTT (NP)?
For AMMON LOTT (NP), use NPI 1902489032 as the unique 10-digit identifier.
Is there an active status for AMMON LOTT (NP)?
For scheduling context, AMMON LOTT (NP) is shown as active in the registry.
What expertise is attributed to AMMON LOTT (NP)?
AMMON LOTT (NP)'s specialty line reads Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for AMMON LOTT (NP)?
Travel planning: use Provo, Utah as the reference point for AMMON LOTT (NP), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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