Individual provider Active NPI

Vanessa May Dexter, NP

  • Family Nurse Practitioner
  • Provo, UT
National Provider Identifier
1063975613
Registry record updated May 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8797973-4405 Issued in UT
Practice address
1055 N 500 W Ste 202
Provo, UT 84604-3305
Phone
(801) 374-2367
Fax
(801) 429-8015
NPI assigned
Apr 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 8797973-3102 UT
Family Nurse Practitioner 363LF0000X 8797973-4405 UT Primary

Addresses

Primary practice location

1055 N 500 W Ste 202
Provo, UT 84604-3305

Mailing address

1055 N 500 W
Attn: Credentialing
Provo, UT 84604-3305
Phone (801) 354-8225

Other practice location 1

1152 E 200 N
American Fork, UT 84003-2004
Phone (801) 772-0698

Other practice location 2

96 E Kimballs Ln Ste 305
Draper, UT 84020-5021
Phone (801) 655-5670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190626001289 UT Practitioner - Nurse Practitioner 1153655006 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gadzoom Health LLCGroup PAC ID 3476954793, 26 clinicians

Practice addresses (Care Compare)

3401 N Thanksgiving Way
Suite 190
Lehi, UT 84048-4157
Phone (859) 948-2390

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.69 of 100Reported as group
Quality
50.27
Improvement activities
40
Cost
55.27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
8797973-3102UTMDRegistered Nurse
8797973-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gadzoom Health LLC CurrentSince Nov 26, 2023 Accepting new patients
Careconnectmd Utah PC CurrentSince Feb 1, 2025 Accepting new patients
Beautiful by Design Family CurrentSince Jul 16, 2023 Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

66 S 360 E
American Fork, UT 84003
Phone (801) 216-4183

6975 S Union Park Ctr
Fl 6
Cottonwood Heights, UT 84047

13894 S Bangerter Pkwy
Ste 200
Draper, UT 84020
Phone (208) 996-3519

3401 N Thanksgiving Way
Ste 190
Lehi, UT 84048
Phone (385) 454-5027

Networks

  • UT PPO
  • UT PPO D-SNP

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556668800000",
    "number": "1063975613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 N 500 W",
            "address_2": "ATTN: CREDENTIALING",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043305",
            "telephone_number": "801-354-8225",
            "fax_number": "801-418-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 N 500 W STE 202",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043305",
            "telephone_number": "801-374-2367",
            "fax_number": "801-429-8015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1152 E 200 N",
            "address_purpose": "LOCATION",
            "city": "American Fork",
            "state": "UT",
            "postal_code": "840032004",
            "country_code": "US",
            "telephone_number": "801-772-0698",
            "fax_number": "801-772-0705",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "96 E Kimballs Ln Ste 305",
            "address_purpose": "LOCATION",
            "city": "Draper",
            "state": "UT",
            "postal_code": "840205021",
            "country_code": "US",
            "telephone_number": "801-655-5670",
            "fax_number": "385-203-1344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEXTER",
        "first_name": "VANESSA",
        "middle_name": "MAY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-10",
        "last_updated": "2019-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "UT",
            "license": "8797973-3102",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "8797973-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

Verify at the official NPI Registry.