MRS. ANGELA RENEE OLIVER PIQUETTE (NNP) – Critical Care Neonatal Nurse Practitioner, NPI 1912428103
Critical Care Neonatal Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MRS. ANGELA RENEE OLIVER PIQUETTE (NNP)
100 N Mario Capecchi Dr
Salt Lake City, UT 841131103
Phone: (801) 662-4100
Type: Location
202 S Park St
Madison, WI 537151507
Phone: (720) 404-4493
Type: Location
400 E 3rd St
Duluth, MN 558051951
Phone: (218) 786-8364
Type: Location
777 BANNOCK ST
DENVER, CO 802044597
Phone: (303) 602-9250
Fax: (303) 602-9262
Type: Mailing
7974, UW Health Court, Discovery Springs, City of Middleton, Dane County, Wisconsin, 53562, United States
MIDDLETON, WI 535625531
Phone: (608) 829-5485
Fax: (608) 833-0999
Type: Mailing
Mario Capecchi Drive, Salt Lake City, Salt Lake County, Utah, 84412, United States
SALT LAKE CITY, UT 841131103
Phone: (801) 662-4100
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2024-04-29
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20240319003867 | I | Nurse Practitioner | CO | TBD |
| I20240429003329 | I | Nurse Practitioner | ND | 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 84113)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.