Usha Gautam, NURSE PRACTITIONER
NPI 1508665605ActiveIndividual· Nurse Practitioner· Sandy, UT
Nurse Practitioner (NURSE PRACTITIONER) with Santibanez Pac Utah, practicing in Sandy, Utah. Enrolled in Medicare as practitioner - nurse practitioner. Lists Holy Cross Hospital-Jordan Valley and 1 other hospital as hospital affiliations.
Overview
| NPI | 1508665605 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NURSE PRACTITIONER |
| Sole proprietor | No |
| NPI issued | Mar 11, 2025 |
| Last updated in NPPES | Mar 11, 2025 |
| Certified by provider | Mar 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 11176038-4405 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 | 2024 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Santibanez Pac UtahSalt Lake City, UT · 18 clinicians
Hospital affiliations
- Holy Cross Hospital-Jordan ValleyWest Jordan, UT
- St Luke's Regional Medical CenterBoise, ID
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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