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

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: October 25, 2026.

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

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
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.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

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Shadrick Tillotson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Premier Psychiatry Solutions
Same address
Psychiatric/Mental Health
2901 W BLUE GRASS BLVD STE 200
Lehi, UT 84043
  • Reassigned Medicare billing, Utah enrollment
NPI 1538948005 (801) 404-9662
Deborah A Christensen Phd & Associates, Inc
4.6 mi
Psychologist
248 EAST 13800 SOUTH, SUITE 4
Draper, UT 84020
  • Reassigned Medicare billing, Utah enrollment
  • 48 clinicians in this Medicare group
NPI 1891955936 (801) 816-1801
Numinus Wellness Ut Inc
25 mi
Psychiatry
672 W 400 S STE 201
Springville, UT 84663
  • Reassigned Medicare billing, Utah enrollment
  • 63 clinicians in this Medicare group
NPI 1265092282 (801) 369-8989

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 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.

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.

OGNOMY SLEEP ASSOCIATES, NJ LLC
Internal Medicine (Sleep Medicine)
2901 W BLUE GRASS BLVD STE 200
LEHI, UT 84043
Utah County (877) 664-6669
PREMIER PSYCHIATRY SOLUTIONS
Nurse Practitioner (Psychiatric/Mental Health)
2901 W BLUE GRASS BLVD STE 200
LEHI, UT 84043
Utah County (801) 404-9662
UNCONVENTIONAL LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
2901 W BLUE GRASS BLVD STE 200
LEHI, UT 84043
Utah County (435) 557-4355
DENTISTRYONE OF UTAH PC
Dentist (General Practice)
2901 W BLUE GRASS BLVD STE 200
LEHI, UT 84043
Utah County (877) 712-7875
RICHARD MICHAEL GRANT D.C.
Chiropractor
2901 W BLUE GRASS BLVD STE 200
LEHI, UT 84043
Utah County (385) 323-2491
FLEXALITY INC DBA ALPINE PROFESSIONAL COUNSELING
Counselor (Mental Health)
2901 W BLUE GRASS BLVD STE 200
LEHI, UT 84043
Utah County (360) 849-9436
SHARILYN SUE KIMBALL NP
Nurse Practitioner (Family)
2901 W BLUE GRASS BLVD STE 200
LEHI, UT 84043
Utah County (801) 368-9050
LANCE TAMASHIRO MS, ACMHC
Counselor (Mental Health)
2901 W BLUE GRASS BLVD STE 200
LEHI, UT 84043
Utah County (801) 857-0102

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 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.

Where is Shadrick Tillotson located?

Shadrick Tillotson practices at 2901 W Blue Grass Blvd Ste 200, Lehi, UT 84043. The listed phone number is (385) 510-5150.

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.

Is Shadrick Tillotson enrolled in Medicare?

Yes. Shadrick Tillotson 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 Shadrick Tillotson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shadrick Tillotson reassigns Medicare benefits to 3 organizations: Premier Psychiatry Solutions (Lehi, UT), Deborah A Christensen Phd & Associates, Inc (Draper, UT) and Numinus Wellness Ut Inc (Springville, UT). 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 Shadrick Tillotson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shadrick Tillotson accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Shadrick Tillotson 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.

When was this NPI record last updated?

The NPPES record for Shadrick Tillotson was last updated on April 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.