Desaree Fowler, PNP-PC
NPI 1124566179ActiveIndividual· Nurse Practitioner, Pediatrics· Springville, UT
Nurse Practitioner, Pediatrics (PNP-PC) with Revere Health PC, practicing in Springville, Utah. Enrolled in Medicare as practitioner - nurse practitioner.
Overview
| NPI | 1124566179 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PNP-PC |
| Sole proprietor | No |
| NPI issued | Feb 9, 2017 |
| Last updated in NPPES | Oct 16, 2023 |
| Certified by provider | Oct 16, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Pediatrics Primary | 363LP0200X | CNP-03137 | NM |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (UT) |
|---|
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Revere Health PCProvo, UT · 410 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other pediatric nurse practitioners in Springville
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