Dana Michelle Pickle, FNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

343107-4405 Issued in UT

Practice address

4261 W Lower Meadow Dr
Herriman, UT 84096-1259

Phone

(801) 699-5483

Fax

(801) 789-2045

NPI assigned

Jul 12, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Innovative Wound Solutions LLCGroup PAC ID 3072954759, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Innovative Wound Solutions, LLC

  • Multi-Specialty Clinic/Center
  • Scottsdale, AZ
  • NPI 1649038910

  UT

  Medicare reassignment Care Compare group NPD
• Mountain West Family Practice LLC

  • Family Medicine Physician
  • Tooele, UT
  • NPI 1770581605
  Medicare reassignment NPD

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

{
    "created_epoch": "1594512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1265050660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4261 W LOWER MEADOW DR",
            "city": "HERRIMAN",
            "state": "UT",
            "postal_code": "840961259",
            "telephone_number": "801-699-5483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4261 W LOWER MEADOW DR",
            "city": "HERRIMAN",
            "state": "UT",
            "postal_code": "840961259",
            "telephone_number": "801-699-5483",
            "fax_number": "801-789-2045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKLE",
        "first_name": "DANA",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-12",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "343107-4405",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "UT",
            "license": "343107-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mallory Payan
• Andrew Payne, CAT, LAT
• Tyler Rolland Petersen, CSW
• Alyssa Peterson
• Naomi Helene Phillips, DC
• Premier Orthodontic Care
• Kent Austin Prewett
• Proof Physiotherapy LLC
• Stefanie Prosence
• Samantha Purser

• Primary Care Nurse Practitioner in Herriman, UT
• Providers in Herriman, UT by specialty
• Primary Care Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; 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.

Verify at the official NPI Registry.