MS. HEATHER RAE VAN LOON (PA-C) – Physician Assistant, NPI 1992052336
Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
1,972 PHYSICIAN ASSISTANT in UT
Provider Addresses for MS. HEATHER RAE VAN LOON (PA-C)
127 S 500 E STE 600
SLC, UT 841021971
Phone: (801) 587-6705
Fax: (801) 715-8228
Type: Mailing
1950 CIRCLE OF HOPE
HCH 4TH FLOOR
SLC, UT 841125550
Phone: (801) 585-0100
Fax: (801) 585-2935
Type: Location
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 $74.
Total Amount is formed as General ($74) + Research ($0) + Ownership ($0) = $74.
Last reported payment date: 2024-02-23 • Largest payer in this snapshot: Ipsen Biopharmaceuticals, Inc ($74).
Total Amount
$74
General + Research + Ownership
Payments
3
Total payment records
General Amount
$74
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Ipsen Biopharmaceuticals, Inc | $74 |
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: 2012-12-20
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 |
|---|---|---|---|---|
| I20121220000177 | I | Physician Assistant | 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 84102)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | UT | |
| Physician Assistant | WA | |
| Nurse Practitioner | UT | |
| Physician Assistant | UT | |
| Physician Assistant | MT | |
| Physician Assistant | MA | |
| A N E S T H E S I O L O G Y | UT | |
| Pulmonary Disease, Sleep Medicine, Internal Medicine, Critical Care (Intensivists) | UT | |
| Nurse Practitioner | UT | |
| General Surgery | UT |
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