DEVEN WILLARDSON BSN, RN
NPI 1376033456
Nurse Practitioner in Logan, UT

Q: 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.

Q: What is Deven Willardson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: 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.

Active since May 15, 2018PECOS EnrolledAccepts Medicare Assignment

1350 N 500 E, LOGAN, UT 84341(435) 716-2800 Get Directions Write a Review

NPPES record last updated: March 26, 2019. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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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

NPI1376033456

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameDEVEN WILLARDSONCredential: BSN, RN

Location Address1350 N 500 ELogan, UT 84341-2400

Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128

Phone(435) 716-2800

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateMay 15, 2018

Last NPPES UpdateMarch 26, 2019

✔ NPI 1376033456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in UT · 8510230-4405

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1350 N 500 E, Logan, UT 84341

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan, Select Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID446500615

PECOS Enrollment IDI20210810003479

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

742 services175 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

46 services38 patients

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, ID

3/5 CMS rating

OwnershipProprietary

CMS Certification Number130018

Location3100 Channing WayIdaho Falls, ID 83404 · Bonneville County

Emergency services Birthing friendly

Mountain View Hospital

Acute Care Hospitals · Idaho Falls, ID

1/5 CMS rating

OwnershipPhysician

CMS Certification Number130065

Location2325 Coronado StreetIdaho Falls, ID 83404 · Bonneville County

Emergency services Birthing friendly

Physician 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.

New Patient

$84.41 typical visit price

range $54.34 – $166.03

Typical copayment $21.10 (range $13.58 – $41.50)

Most-billed visit code 99203

Established Patient

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

ERNEST BRETT HORSLEY DO

Obstetrics & Gynecology

1350 N 500 E
LOGAN, UT 84341

Cache County (435) 792-1920

GREGG ARTHUR MARSHALL MD

Surgery

1350 N 500 E
LOGAN, UT 84341

Cache County (435) 716-1950

IHC HEALTH SERVICES INC

Pharmacy (Community/Retail Pharmacy)

1350 N 500 E
LOGAN, UT 84341

Cache County (435) 792-1521

MR. TYSON ANDERSON CLUFF PA-C

Physician Assistant

1350 N 500 E
LOGAN, UT 84341

Cache County (435) 716-2800

HAROLD VONK M.D.

Internal Medicine (Rheumatology)

1350 N 500 E
LOGAN, UT 84341

Cache County (435) 716-1980

ROBERT M NASH MD

Internal Medicine

1350 N 500 E
LOGAN, UT 84341

Cache County (435) 792-1980

AGNIESZKA M SZPUNAR MD

Internal Medicine

1350 N 500 E
LOGAN, UT 84341

Cache County (435) 792-1980

ANDREW JAMES GOATES MD

Otolaryngology

1350 N 500 E
LOGAN, UT 84341

Cache County (435) 752-1693

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.

What insurance does Deven Willardson accept?

Health plans from Moda Health Plan, Inc., Providence Health Plan, Select Health and University of Utah Health Plans 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.