KIM STEVENSON (APRN-NP) – Nurse Practitioner, NPI 1851542872
Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for KIM STEVENSON (APRN-NP)
5620 S WATERBURY WAY # A200
SALT LAKE CITY, UT 841211180
Phone: (801) 455-8822
Fax: (561) 589-6511
Type: Location
275, West 200 North, Kaysville, Davis County, Utah, 84037, United States
KAYSVILLE, UT 840371861
Phone: (801) 546-1300
Fax: (801) 546-1301
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $493.
Total Amount is formed as General ($493) + Research ($0) + Ownership ($0) = $493.
Last reported payment date: 2024-05-08 • Largest payer in this snapshot: Stryker Corporation ($168).
Total Amount
$493
General + Research + Ownership
Payments
6
Total payment records
General Amount
$493
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $168 |
| Gilead Sciences, Inc. | $147 |
| Janssen Biotech, Inc. | $135 |
| Indivior Inc. | $26 |
| Bayer Healthcare Pharmaceuticals Inc. | $17 |
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: 2009-06-02
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 |
|---|---|---|---|---|
| I20090602000365 | 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 84121)
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