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PETER JOSEPH CLANCY
NPI 1760337885
Nurse Practitioner - Psychiatric/Mental Health in Provo, UT

Active since March 03, 2026PECOS EnrolledAccepts Medicare Assignment
73 E 200 N APT 304, PROVO, UT 84606(469) 264-4639 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 9, 2026, Mar 3, 2026 (2 updates tracked since 2026).

About Peter Joseph Clancy NPPES

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

PETER JOSEPH CLANCY (NPI 1760337885) is an individual psychiatric/mental health provider in Provo, Utah, licensed in Utah (11560202-8900) and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1760337885
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NamePETER JOSEPH CLANCY
Location Address73 E 200 N APT 304Provo, UT 84606-6671
Mailing Address73 E 200 N Apt 304Provo, UT 84606-6671 · (469) 264-4639
Phone(469) 264-4639
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 3, 2026
Last NPPES UpdateMarch 9, 20262 updates tracked since enumeration
NPPES CertifiedMarch 9, 2026
✔ NPI 1760337885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in UT · 11560202-8900
73 E 200 N APT 304, Provo, UT 84606
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include University of Utah Health Plans.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

Peter Joseph Clancy 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 ID8325523616
PECOS Enrollment IDI20260403002314
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 Reassignment

Medicare enrollment records show Peter Clancy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gadzoom Health LLC
19 mi
Family Medicine
3401 N THANKSGIVING WAY STE 190
Lehi, UT 84048
  • Reassigned Medicare billing, Utah enrollment
  • 52 clinicians in this Medicare group
NPI 1770187163 (385) 454-5027

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84606 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.

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 Peter Clancy's NPI number?

The NPI number for Peter Clancy is 1760337885. It was assigned to this individual provider in the NPPES registry on March 3, 2026.

Where is Peter Clancy located?

Peter Clancy practices at 73 E 200 N Apt 304, Provo, UT 84606. The listed phone number is (469) 264-4639.

What is Peter Clancy's specialty?

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

Is Peter Clancy enrolled in Medicare?

Yes. Peter Clancy 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 organization bills Medicare for Peter Clancy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Clancy reassigns Medicare benefits to Gadzoom Health LLC (Lehi, UT). The 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 Peter Clancy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Peter Clancy accept?

Health plans from University of Utah Health Plans list Peter Clancy 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 Peter Clancy was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.