FEMININE FORMS LLC
NPI 1578035713
Prosthetic/Orthotic Supplier in American Fork, UT
About Feminine Forms Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FEMININE FORMS LLC (NPI 1578035713) is a healthcare organization registered as a prosthetic/orthotic supplier in American Fork, Utah and active in the NPI registry since December 2018. The organization lists Liesa Naegle, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and revalidation status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Feminine Forms Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Medical Equipment Supplier Medicare DMEPOS 2
Medicare supplier enrollment and the product categories Feminine Forms carries, from the Medicare DMEPOS supplier directory.
Feminine Forms
DMEPOS supplier · American Fork, UTOperated by Feminine Forms LLCDoes not accept Medicare assignment
Feminine Forms has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.
Medicare Product Categories
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 Feminine Forms LLC's NPI number?
The NPI number for Feminine Forms LLC is 1578035713. It was assigned to this organization in the NPPES registry on December 28, 2018.
Where is Feminine Forms LLC located?
Feminine Forms LLC is located at 345 S 500 E, American Fork, UT 84003. The listed phone number is (801) 770-0600.
What is Feminine Forms LLC's specialty?
The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.
Is Feminine Forms LLC enrolled in Medicare?
Yes. Feminine Forms LLC is registered in the Medicare PECOS enrollment system.
When is Feminine Forms LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Utah, Medical Supply Company with Prosthetic Personnel) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
Does Feminine Forms LLC accept Medicare assignment for medical equipment?
No. As a Medicare medical equipment supplier, Feminine Forms does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.
What insurance does Feminine Forms LLC accept?
Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Feminine Forms LLC 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 Feminine Forms LLC was last updated on August 27, 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.
# Feminine Forms Llc · NPI 1578035713
Prosthetic/Orthotic Supplier organization in American Fork, Utah. Organization record, active in the CMS NPPES registry since December 28, 2018.
## Identity
- **NPI:** 1578035713 (Entity type: Organization)
- **Enumerated:** December 28, 2018
- **Primary specialty:** Prosthetic/Orthotic Supplier · taxonomy 335E00000X
- **Organization subpart:** No
- **Authorized official:** Liesa Naegle, MANAGER
## Practice location
- **Address:** 345 S 500 E, American Fork, UT 84003-2525
- **Phone:** (801) 770-0600 · **Fax:** (801) 770-4565
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (DME, Utah, Medical Supply Company with Prosthetic Personnel) · CMS Revalidation Due Date List, October 2026 release
## Record status
- **NPPES last updated:** August 27, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1578035713) · Data from the CMS NPPES public registry.