MR. RYAN DENNIS CHURCH (FNP-C) – Family Nurse Practitioner, NPI 1912909714
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MR. RYAN DENNIS CHURCH (FNP-C)
PO BOX 313
TOQUERVILLE, UT 847740313
Phone: (435) 229-1992
Type: Mailing
PO BOX 741648
ATLANTA, GA 303741648
Phone:
Type: Mailing
1220 E 3900 S STE 1F
SALT LAKE CITY, UT 841241327
Phone: (801) 262-5711
Fax: (801) 262-5741
Type: Location
Coral Desert Rehabilitation, 1490 E., Foremaster Drive, St. George, Washington County, Utah, 84690, United States
SUITE 220
ST GEORGE, UT 847904488
Phone: (435) 656-8366
Fax: (435) 656-8370
Type: Location
74 E Kimballs Ln Ste 330
Draper, UT 840205006
Phone: (801) 266-3418
Fax: (801) 266-4174
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2003-11-19
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 |
|---|---|---|---|---|
| I20031119000114 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84774)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | UT | 20610 | Aspiration and/or injection of large joint or joint capsule | 40 | 31 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA |
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