MARY WINIFRED DAVIS-PRANKE (NP) – Nurse Practitioner, NPI 1457760803
Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MARY WINIFRED DAVIS-PRANKE (NP)
2930 11TH AVE
EVANS, CO 806201011
Phone: (970) 353-9403
Fax: (970) 350-4645
Type: Mailing
1400 37TH ST
EVANS, CO 806201906
Phone: (970) 348-1112
Fax: (970) 348-1134
Type: Location
9071 S 1300 W
Suite 301
West Jordan, UT 840886672
Phone: (801) 565-1162
Fax: (801) 565-1168
Type: Location
7138 S 2000 E
SUITE 103
SALT LAKE CITY, UT 841213757
Phone: (801) 453-9625
Fax: (801) 944-7347
Type: Mailing
6967 S RIVER GATE DR STE 100
MIDVALE, UT 840471575
Phone: (801) 453-9625
Fax: (801) 944-7347
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $30.
Total Amount is formed as General ($30) + Research ($0) + Ownership ($0) = $30.
Last reported payment date: 2023-05-18 • Largest payer in this snapshot: Organon LLC ($30).
Total Amount
$30
General + Research + Ownership
Payments
1
Total payment records
General Amount
$30
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organon LLC | $30 |
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: 2023-03-02
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 |
|---|---|---|---|---|
| I20230302000338 | I | Nurse Practitioner | CO | 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 80620)
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Reviews
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