SAVANNAH BROOKE COTTAM
NPI 1629966874
Nurse Practitioner - Family in Riverton, UT

Q: What is Savannah Cottam's NPI number?

The NPI number for Savannah Cottam is 1629966874. It was assigned to this individual provider in the NPPES registry on June 26, 2025.

Q: What is Savannah Cottam's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Savannah Cottam was last updated on May 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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 June 26, 2025PECOS Enrolled

1756 W PARK AVE, RIVERTON, UT 84065(801) 254-1012 Get Directions Write a Review

NPPES record last updated: May 1, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 1, 2026, Jun 26, 2025 (2 updates tracked since 2025).

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About Savannah Brooke Cottam NPPES

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

SAVANNAH BROOKE COTTAM (NPI 1629966874) is an individual family provider in Riverton, Utah, licensed in Utah (9817924-4405) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1629966874

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSAVANNAH BROOKE COTTAM

Location Address1756 W PARK AVERiverton, UT 84065-4701

Mailing Address1756 W Park AveRiverton, UT 84065-4701 · (801) 655-5899

Phone(801) 254-1012

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateJune 26, 2025

Last NPPES UpdateMay 1, 20262 updates tracked since enumeration

NPPES CertifiedMay 1, 2026

✔ NPI 1629966874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in UT · 9817924-4405

1756 W PARK AVE, Riverton, UT 84065

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Savannah Brooke Cottam is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5496221459

PECOS Enrollment IDI20260416003385

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 84065 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 10

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

DUSTIN KEITH JONES APRN

Nurse Practitioner (Family)