SELANIE ANN SANONE (DNP) – Nurse Practitioner, NPI 1932380839
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SELANIE ANN SANONE (DNP)
1515 N 400 E Ste 104
North Logan, UT 843417595
Phone: (435) 755-6061
Fax: (435) 755-6091
Type: Location
517 W 100 N Ste 110
Providence, UT 843329826
Phone: (435) 755-6075
Fax: (435) 374-0502
Type: Location
P.O. BOX 787
SUBLETTE COUNTY RURAL HEALTH CARE DISTRICT
BIG PINEY, WY 831130787
Phone: (307) 276-3306
Fax: (307) 276-3024
Type: Mailing
Big Piney Marbleton Clinic, 103, West 3rd Street, Marbleton, Sublette County, Wyoming, 83113, United States
MARBLETON, WY 83113
Phone: (307) 276-3306
Fax: (307) 276-3024
Type: Location
5 W 200 N
Brigham City, UT 843022109
Phone: (435) 723-7999
Fax: (435) 723-7331
Type: Location
152 S 4th St
Montpelier, ID 832541538
Phone: (208) 847-2108
Fax: (208) 847-2109
Type: Location
517 W. 100 N.
STE. 210
PROVIDENCE, UT 843329826
Phone: (435) 755-6061
Fax: (435) 994-8362
Type: Mailing
325 W LOGAN RD
GARDEN CITY, UT 840287754
Phone: (435) 755-6061
Fax: (435) 994-8362
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: 2016-04-01
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 |
|---|---|---|---|---|
| I20141029001559 | I | Nurse Practitioner | TX | TBD |
| I20160401000169 | I | Nurse Practitioner | ID | 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 84341)
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Group practice members
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