REBECCA WALLACE (APRN) – Family Nurse Practitioner, NPI 1104810134
Family Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for REBECCA WALLACE (APRN)
1837, Hollywood Avenue, Sugar House, Salt Lake City, Salt Lake County, Utah, 84108, United States
SALT LAKE CITY, UT 841083103
Phone: (801) 487-4160
Type: Mailing
700 East, East Central, Salt Lake City, Salt Lake County, Utah, 84102, United States
SUITE 200
SALT LAKE CITY, UT 841061466
Phone: (801) 261-4988
Fax: (801) 269-9427
Type: Location
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 $22.
Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.
Last reported payment date: 2023-05-30 • Largest payer in this snapshot: Coastal Medical Technologies LLC ($22).
Total Amount
$22
General + Research + Ownership
Payments
1
Total payment records
General Amount
$22
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Coastal Medical Technologies LLC | $22 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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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 84108)
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