AMANDA GRAVES CANNON (FNP) – Family Nurse Practitioner, NPI 1760968804
Family Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for AMANDA GRAVES CANNON (FNP)
667 E 500 N STE 200
VINEYARD, UT 840596004
Phone: (801) 669-5758
Fax: (801) 216-8357
Type: Mailing
North State Street, Carterville, Provo, Utah County, Utah, 84604, United States
PROVO, UT 846041354
Phone: (801) 669-5758
Type: Mailing
700 W 800 N Ste 200
Orem, UT 840576316
Phone: (016) 695-7588
Fax: (801) 216-8357
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $144.
Total Amount is formed as General ($144) + Research ($0) + Ownership ($0) = $144.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Biogen, Inc. ($43).
Total Amount
$144
General + Research + Ownership
Payments
9
Total payment records
General Amount
$144
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Biogen, Inc. | $43 |
| Organon LLC | $34 |
| Merck Sharp & Dohme LLC | $18 |
| Exeltis, USA Inc. | $17 |
| Bayer Healthcare Pharmaceuticals Inc. | $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: 2024-11-19
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 |
|---|---|---|---|---|
| I20241119002876 | I | Nurse Practitioner | 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 84059)
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