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Active NPI 1508665605 Individual Practitioner Female Practitioner

Usha Gautam , NURSE PRACTITIONER

Nurse Practitioner • Sandy, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Usha Gautam, NURSE PRACTITIONER is a certified Nurse Practitioner practicing in Sandy, UT. With approximately 2 years of clinical experience since completing medical education in 2024, Usha Gautam delivers high-quality medical care to the local community at 243 E HAMMERMILL LN.

Usha Gautam is affiliated with Santibanez Pac Utah and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

243 E Hammermill Ln

Sandy, UT 840702918

Telephone 3852348696
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2024

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Sandy, UT

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs -5.1 yrs vs City Avg
City Avg: 7.1 Yrs
State Avg: 8.4 Yrs
Regional Practice Density
26 Specialists

Practicing in Sandy, UT (1143 Statewide)

Telehealth Adoption Rate
11.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gautam (2 Years) 2 Yrs
Sandy Specialty Average (7.1 Years) 7.1 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-03-11
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License UT 11176038-4405

(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.

Hospital & Practice Group Affiliations

Santibanez Pac Utah

451 E Bishop Federal Ln, Salt Lake City, UT 841152221

Phone: 8014877557

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 11, 2025

NPI status registered as active in NPPES database

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Updated Practice Location March 11, 2025

Registered at 243 E HAMMERMILL LN, SANDY, UT 840702918 (Tel: 3852348696)

📍
Updated Business Mailing Address March 11, 2025

Registered at 243 E HAMMERMILL LN, SANDY, UT 840702918 (Tel: 3852348696)

👤
Provider Name / Credentials Updated March 11, 2025

Recorded as USHA GAUTAM, NURSE PRACTITIONER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 11, 2025

Nurse Practitioner (License #11176038-4405 in UT)

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Initial NPI Registration & Enumeration March 11, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508665605
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 11, 2025
Last Update: March 11, 2025
Sole Proprietor: No

Mailing Address

243 E Hammermill Ln

Sandy, UT 840702918

Phone: 3852348696

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.