DEVEN WILLARDSON BSN, RN
NPI 1376033456
Nurse Practitioner in Logan, UT
About Deven Willardson Bsn, Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEVEN WILLARDSON BSN, RN (NPI 1376033456) is an individual nurse practitioner in Logan, Utah, licensed in Utah (8510230-4405) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Eastern Idaho Regional Medical Center, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Deven Willardson Bsn, Rn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Deven Willardson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Logan, UT 84341
- Reassigned Medicare billing, Utah enrollment
- 3,691 clinicians in this Medicare group
Pocatello, ID 83201
- Reassigned Medicare billing, Idaho enrollment
- 298 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Eastern Idaho Regional Medical Center
Acute Care Hospitals · Idaho Falls, IDMountain View Hospital
Acute Care Hospitals · Idaho Falls, IDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84341 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Deven Willardson's NPI number?
The NPI number for Deven Willardson is 1376033456. It was assigned to this individual provider in the NPPES registry on May 15, 2018.
Where is Deven Willardson located?
Deven Willardson practices at 1350 N 500 E, Logan, UT 84341. The listed phone number is (435) 716-2800.
What is Deven Willardson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Deven Willardson enrolled in Medicare?
Yes. Deven Willardson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Deven Willardson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Deven Willardson reassigns Medicare benefits to 2 organizations: Ihc Health Services Inc (Logan, UT) and Mountain View Hospital LLC (Pocatello, ID). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Deven Willardson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Deven Willardson accept?
Health plans from Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans, Providence Health Plan and Select Health and 1 other insurer list Deven Willardson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Deven Willardson affiliated with any hospitals?
According to CMS data, Deven Willardson is affiliated with Eastern Idaho Regional Medical Center and Mountain View Hospital.
When was this NPI record last updated?
The NPPES record for Deven Willardson was last updated on March 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Deven Willardson, BSN, RN · NPI 1376033456
Nurse Practitioner physician in Logan, Utah. Individual provider, active in the CMS NPPES registry since May 15, 2018.
## Identity
- **NPI:** 1376033456 (Entity type: Individual)
- **Enumerated:** May 15, 2018
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 8510230-4405 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 1350 N 500 E, Logan, UT 84341-2400
- **Phone:** (435) 716-2800
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Ihc Health Services Inc (NPI 1154826618, Logan, UT); Mountain View Hospital LLC (NPI 1699141150, Pocatello, ID) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** March 26, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1376033456) · Data from the CMS NPPES public registry.