ADRIEN JULIANA GUPTON (FNP) – Family Nurse Practitioner, NPI 1669814331
Family Nurse Practitioner
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ADRIEN JULIANA GUPTON (FNP)
550 University Blvd Ste 5630
Indianapolis, IN 462025149
Phone: (317) 944-0920
Fax: (317) 968-1165
Type: Location
PO BOX 3630
FLAGSTAFF, AZ 860033630
Phone: (928) 522-9400
Fax: (928) 774-6687
Type: Mailing
620 LEE ST
WINSLOW, AZ 860472435
Phone: (928) 289-2000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $220.
Total Amount is formed as General ($220) + Research ($0) + Ownership ($0) = $220.
Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Lilly USA, LLC ($99).
Total Amount
$220
General + Research + Ownership
Payments
5
Total payment records
General Amount
$220
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $99 |
| TerSera Therapeutics LLC | $56 |
| Eisai Inc. | $28 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $20 |
| SERVIER PHARMACEUTICALS LLC | $16 |
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: 2023-12-21
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 |
|---|---|---|---|---|
| I20231221002209 | I | Nurse Practitioner | IN | 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 46202)
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