DEEANN CERVANTEZ NP
NPI 1841707569
Nurse Practitioner - Pediatrics in Salt Lake City, UT

Active since January 03, 2018PECOS Enrolled
100 N MARIO CAPECCHI DR STE 3550, SALT LAKE CITY, UT 84113(801) 662-5555 Get Directions Write a Review

NPPES record last updated: November 11, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 11, 2021, Jan 18, 2018 (2 updates tracked since 2018).

About Deeann Cervantez Np NPPES

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

DEEANN CERVANTEZ NP (NPI 1841707569) is an individual pediatrics provider in Salt Lake City, Utah, licensed in Utah (108619-4405) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841707569
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameDEEANN CERVANTEZCredential: NP
Location Address100 N MARIO CAPECCHI DR STE 3550Salt Lake City, UT 84113-1103
Mailing Address100 N Mario Capecchi Dr Ste 3550Salt Lake City, UT 84113-1103 · (801) 662-5555 · Fax (801) 662-5547
Sole ProprietorNo
Enumeration DateJanuary 3, 2018
Last NPPES UpdateNovember 11, 20212 updates tracked since enumeration
NPPES CertifiedNovember 11, 2021
✔ NPI 1841707569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in UT · 108619-4405
Also ListedUrology · Pediatric UrologyTaxonomy 2088P0231X · License 108619-4405 (UT)
100 N MARIO CAPECCHI DR STE 3550, Salt Lake City, UT 84113

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Deeann Cervantez Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Deeann Cervantez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatric Otolaryngology
100 N MARIO CAPECCHI DR
Salt Lake City, UT 84113
  • Reassigned Medicare billing, Utah enrollment
  • 751 clinicians in this Medicare group
Anesthesiology
30 N 1900 E, 3C 444
Salt Lake City, UT 84132
  • Reassigned Medicare billing, Utah enrollment
  • 2,620 clinicians in this Medicare group

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 84113 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

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

Urology (Pediatric Urology)
100 N MARIO CAPECCHI DR STE 3550
SALT LAKE CITY, UT 84113

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 Deeann Cervantez's NPI number?

The NPI number for Deeann Cervantez is 1841707569. It was assigned to this individual provider in the NPPES registry on January 3, 2018.

Where is Deeann Cervantez located?

Deeann Cervantez practices at 100 N Mario Capecchi Dr Ste 3550, Salt Lake City, UT 84113. The listed phone number is (801) 662-5555.

What is Deeann Cervantez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Deeann Cervantez enrolled in Medicare?

Yes. Deeann Cervantez is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Deeann Cervantez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Deeann Cervantez reassigns Medicare benefits to 2 organizations: University Of Utah Pediatric Services (Salt Lake City, UT) and University Of Utah Adult Services (Salt Lake City, 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 Deeann Cervantez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Deeann Cervantez accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Deeann Cervantez 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 Deeann Cervantez was last updated on November 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.