Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Penny J Mader , CNP

Nurse Practitioner โ€ข Provo, UT

Active NPI 1518247758 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

1055 N 500 W, Attn Credentialing
Provo, UT 84604

Call 8013548225 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1055 N 500 W
Attn Credentialing

Provo, UT 84604

Telephone 8013548225
Fax 8014180941
Organization at the Same NPPES Address or Phone
No Roll Up Timpanogos Llc Facility NPI 1831153840

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Kanab, UT; Las Cruces, NM. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 2 distinct group names: Emergency Physicians Southwest Pc; Presbyterian Healthcare Services. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2011

Medicare patients

58 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $2,951 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $1,665 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

11 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$162 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $21.74 in 2024

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2024.

Guide: How to read an Open Payments record

Years since graduation

15 years (graduated 2011)

CMS Doctors and Clinicians data list 2011 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2011

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Penny Mader has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Penny Mader as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Provo and Utah

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 85% of clinicians listed under Nurse Practitioner in Provo, UT (2024, 49 clinicians with data). Median for this group: 251. Middle half: 111 to 636.

Fewer Medicare Part B services than 85% of clinicians listed under Nurse Practitioner in Utah (2024, 455 clinicians with data). Median for this group: 212. Middle half: 85 to 499.

Medicare-allowed amount

A lower Medicare-allowed amount than 85% of clinicians listed under Nurse Practitioner in Provo, UT (2024, 49 clinicians with data). Median for this group: $21,716. Middle half: $5,834 to $34,166.

A lower Medicare-allowed amount than 85% of clinicians listed under Nurse Practitioner in Utah (2024, 455 clinicians with data). Median for this group: $15,923. Middle half: $6,813 to $34,573.

Paid by Medicare

A lower Medicare payment amount than 90% of clinicians listed under Nurse Practitioner in Provo, UT (2024, 49 clinicians with data). Median for this group: $16,779. Middle half: $4,429 to $25,139.

A lower Medicare payment amount than 90% of clinicians listed under Nurse Practitioner in Utah (2024, 455 clinicians with data). Median for this group: $12,010. Middle half: $4,943 to $26,478.

Medicare Part D prescriptions

Fewer Part D prescriptions than 95% of clinicians listed under Nurse Practitioner in Provo, UT (2024, 44 clinicians with data). Median for this group: 315. Middle half: 105 to 1,451.

Fewer Part D prescriptions than 95% of clinicians listed under Nurse Practitioner in Utah (2024, 486 clinicians with data). Median for this group: 309. Middle half: 71 to 1,356.

Part D drug cost

A lower Part D drug cost than 95% of clinicians listed under Nurse Practitioner in Provo, UT (2024, 44 clinicians with data). Median for this group: $26,493. Middle half: $1,889 to $178,460.

A lower Part D drug cost than 90% of clinicians listed under Nurse Practitioner in Utah (2024, 486 clinicians with data). Median for this group: $22,914. Middle half: $1,479 to $148,267.

98 active clinicians are listed under Nurse Practitioner with a practice address in Provo, UT (1,134 in Utah).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Provo

31.6% of these 98 clinicians have the CMS telehealth indicator.

60.2% of these 98 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2024
Disclosure Year:

Program year 2024 (payments made January 1 โ€“ December 31, 2024): fewer than 11 records totaling $21.74.

Manufacturer Payment Nature Product Type Amount ($)
ABBVIE INC.
Food and Beverage
In-kind items and services
VRAYLAR General $21.74

Source: CMS Open Payments, program year 2024, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2017โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making
23 23 $294.00 $98.16
99283 Emergency department visit with low level of medical decision making
12 12 $154.00 $57.78

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Levothyroxine Sodium Levothyroxine Sodium 11 330 $162.13 โ€”

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-05-24
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES UT 13327156-4405

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES NM CNP-01828

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Utah Division of Professional Licensing.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
48922218 (NM)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20260130002557

Enrollment State Jurisdiction

AZ

PECOS Control ID

6901070184

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Presbyterian Healthcare Services

3436 Isleta Blvd Sw, Albuquerque, NM 871055837

Phone: 5054627777

Emergency Physicians Southwest Pc

101 Civic Ctr Ln, Lake Havasu City, AZ 864035607

Phone: 9288558185

Secondary Practice Locations

355 N Main St

Kanab, UT 847413260

Phone: 4356444100

2450 S Telshor Blvd

Las Cruces, NM 880115069

Phone: 5755325455

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

29 listed
NPI 1417575564

Doctor of Nursing Practice, Advanced Practice Registered Nurse, Nurse Practitioner (Certified)

Dr. Mohammad Alsolaiman , MD

Internal Medicine - Gastroenterology

NPI 1215986484

Doctor of Medicine (M.D.)

Michael Anderson , PA

Physician Assistant

NPI 1023569241

Physician Assistant

Dr. Derek Bergeson , MD

Radiology - Diagnostic Radiology

NPI 1164641387

Doctor of Medicine (M.D.)

Brent Bowler

Physician Assistant

NPI 1326388323
Atalie Bradshaw , FNP-C

Nurse Practitioner - Family

NPI 1962148072

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
๐Ÿ“
Updated Business Mailing Address May 24, 2023

Registered at 1055 N 500 W, ATTN CREDENTIALING, PROVO, UT 846044232 (Tel: 8013548225)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 24, 2023

Nurse Practitioner (license number reported to NPPES: UT 13327156-4405)

๐Ÿ“
Updated Practice Location April 24, 2023

Registered at 1055 N 500 W, ATTN CREDENTIALING, PROVO, UT 84604 (Tel: 8013548225)

โœ…
NPI Profile Active January 02, 2013

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) January 02, 2013

Registered at 2450 S TELSHOR BLVD, LAS CRUCES, NM 880115069 (Tel: 5755325455)

๐Ÿ“
Business Mailing Address (Initial Record) January 02, 2013

Registered at PO BOX 14232, LAS CRUCES, NM 880134232 (Tel: 5755325455)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) January 02, 2013

Recorded as PENNY MADER, CNP

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 02, 2013

Nurse Practitioner (license number reported to NPPES: NM CNP-01828)

๐ŸŸข
Initial NPI Registration & Enumeration August 19, 2011

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1518247758
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 19, 2011
Last Update: May 24, 2023
Sole Proprietor: No

Other Nurse Practitioners in Provo

All Nurse Practitioners in Provo

Mailing Address

1055 N 500 W, Attn Credentialing

Provo, UT 846044232

Phone: 8013548225

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.