MRS. CAROL SUE TANNER PA-C
NPI 1386857829
Physician Assistant in Springville, UT

Q: What is Carol Tanner's NPI number?

The NPI number for Carol Tanner is 1386857829. It was assigned to this individual provider in the NPPES registry on May 8, 2007.

Q: What is Carol Tanner's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Carol Tanner was last updated on November 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 08, 2007PECOS EnrolledAccepts Medicare Assignment

672 W 400 S STE 201, SPRINGVILLE, UT 84663(801) 369-8989(801) 704-9741 Get Directions Write a Review

NPPES record last updated: November 8, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Carol Sue Tanner Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. CAROL SUE TANNER PA-C (NPI 1386857829) is an individual physician assistant in Springville, Utah, licensed in Utah (5206678-1206) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Spanish Fork, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1386857829

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMRS. CAROL SUE TANNERCredential: PA-C

Location Address672 W 400 S STE 201Springville, UT 84663-3170

Mailing Address672 W 400 S Ste 201Springville, UT 84663-3170 · (801) 369-8989 · Fax (801) 704-9741

Phone(801) 369-8989

Fax(801) 704-9741

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateMay 8, 2007

Last NPPES UpdateNovember 8, 2020

NPPES CertifiedNovember 8, 2020

✔ NPI 1386857829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in UT · 5206678-1206

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 5206678-1206 (UT)

672 W 400 S STE 201, Springville, UT 84663

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Secondary Practice Location 1

Location 1415 N Main StSpanish Fork, UT 84660-1439 · Phone (801) 798-9715 · Fax (801) 798-3131

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Providence Health Plan, Regence BlueCross BlueShield of Utah 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

Mrs. Carol Sue Tanner Pa-c 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 ID9638115108

PECOS Enrollment IDI20050706000751

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84663 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

$68.01 typical visit price

range $17.23 – $135.20

Typical copayment $17.00 (range $4.30 – $33.80)

Most-billed visit code 99213

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

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment

0%105 patients

Documentation of Current Medications in the Medical Record

59%541 patients2/55-star benchmark: 100%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

72%32 patients3/55-star benchmark: 97%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 0% · 152 patients

0%152 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMES MICHAEL MARCUM MD

Psychiatry & Neurology (Psychiatry)