DALLAS LANE EARNSHAW APRN, CNS, BC
NPI 1780777649
Nurse Practitioner - Psychiatric/Mental Health in Provo, UT

Active since October 02, 2006PECOS EnrolledAccepts Medicare Assignment
750 N FREEDOM BLVD, PROVO, UT 84601(801) 373-4760 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dallas Lane Earnshaw Aprn, Cns, Bc NPPES

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

DALLAS LANE EARNSHAW APRN, CNS, BC (NPI 1780777649) is an individual psychiatric/mental health provider in Provo, Utah, licensed in Utah (212165-4405) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1780777649
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameDALLAS LANE EARNSHAWCredential: APRN, CNS, BC
Location Address750 N FREEDOM BLVDProvo, UT 84601-1677
Mailing Address750 N Freedom BlvdProvo, UT 84601-1677 · (801) 373-4760
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateOctober 2, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1780777649 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 · 212165-4405
750 N FREEDOM BLVD, Provo, UT 84601

Accepted 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

Dallas Lane Earnshaw Aprn, Cns, 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 ID9032148994
PECOS Enrollment IDI20050810001103
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 84601 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 20

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

Psychologist (Clinical)
750 N FREEDOM BLVD
PROVO, UT 84601
Clinic/Center (Adolescent and Children Mental Health)
750 N FREEDOM BLVD
PROVO, UT 84601
Social Worker (Clinical)
750 N FREEDOM BLVD
PROVO, UT 84601
Case Manager/Care Coordinator
750 N FREEDOM BLVD
PROVO, UT 84601
Case Manager/Care Coordinator
750 N FREEDOM BLVD
PROVO, UT 84601
Student in an Organized Health Care Education/Training Program
750 N FREEDOM BLVD
PROVO, UT 84601
Peer Specialist
750 N FREEDOM BLVD
PROVO, UT 84601
Peer Specialist
750 N FREEDOM BLVD
PROVO, UT 84601

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 Dallas Earnshaw's NPI number?

The NPI number for Dallas Earnshaw is 1780777649. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Dallas Earnshaw located?

Dallas Earnshaw practices at 750 N Freedom Blvd, Provo, UT 84601. The listed phone number is (801) 373-4760.

What is Dallas Earnshaw's specialty?

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

Is Dallas Earnshaw enrolled in Medicare?

Yes. Dallas Earnshaw 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.

What insurance does Dallas Earnshaw accept?

Health plans from BridgeSpan Health Company, Molina Healthcare and Regence BlueCross BlueShield of Utah list Dallas Earnshaw 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 Dallas Earnshaw was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.