Active NPI
Vanessa May Dexter, NP
- Family Nurse Practitioner
- Provo, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 8797973-4405
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- Quality
- 50.27
- Improvement activities
- 40
- Cost
- 55.27
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8797973-3102 | UT | MD | Registered Nurse |
| 8797973-4405 | UT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gadzoom Health LLC | Current | Accepting new patients | |
| Careconnectmd Utah PC | Current | Accepting new patients | |
| Beautiful by Design | Family | Current | 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.
-
- Family Medicine Physician
- Lehi, UT
- NPI 1770187163
-
- Family Nurse Practitioner
- American Fork, UT
- NPI 1659059533
-
- General Practice Physician
- Cottonwood Heights, UT
- NPI 1619658002
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. Joseph Villa
- Skilled Nursing Facility
- Salt Lake City, UT
- NPI 1477007524
Nursing home
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.