MR. SHADRICK WYATT TILLOTSON PMHNP-BC
NPI 1528514809
Nurse Practitioner - Psychiatric/Mental Health in Lehi, UT

Q: What is Shadrick Tillotson's NPI number?

The NPI number for Shadrick Tillotson is 1528514809. It was assigned to this individual provider in the NPPES registry on August 28, 2016.

Q: What is Shadrick Tillotson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since August 28, 2016PECOS EnrolledAccepts Medicare Assignment

2901 W BLUE GRASS BLVD STE 200, LEHI, UT 84043(385) 510-5150(866) 748-5235 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 2, 2024, Oct 4, 2023, May 12, 2022 and 1 more (4 updates tracked since 2016).

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About Mr. Shadrick Wyatt Tillotson Pmhnp-bc NPPES

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

MR. SHADRICK WYATT TILLOTSON PMHNP-BC (NPI 1528514809) is an individual psychiatric/mental health provider in Lehi, Utah, licensed in Utah (6223314-4405) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1528514809

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameMR. SHADRICK WYATT TILLOTSONCredential: PMHNP-BC

Location Address2901 W BLUE GRASS BLVD STE 200Lehi, UT 84043-4190

Mailing Address2901 W Blue Grass Blvd Ste 200Lehi, UT 84043-4190 · (385) 510-5150 · Fax (866) 748-5235

Phone(385) 510-5150

Fax(866) 748-5235

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateAugust 28, 2016

Last NPPES UpdateApril 2, 20244 updates tracked since enumeration

NPPES CertifiedApril 2, 2024

✔ NPI 1528514809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in UT · 6223314-4405

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 6223314-4405 (UT)

2901 W BLUE GRASS BLVD STE 200, Lehi, UT 84043

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Providence Health Plan 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

Mr. Shadrick Wyatt Tillotson Pmhnp-bc 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 ID6709168073

PECOS Enrollment IDI20170120001879

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 3

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

31 services12 patients

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.

18 services12 patients

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84043 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.

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Other Providers at the Same Location NPPES 8

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

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