Lexi Ann Hartley, RN, BSN, MSN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Enterprise, Utah. She graduated from nursing school in 2024 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Revere Health Pc and her current practice location is
571 Main St, Enterprise, Utah. You can reach out to her office (for appointments etc.) via phone at
(435) 878-5711.
Lexi Ann Hartley is licensed to practice in Utah (license number 11767398-4405) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1902641731.
Provider's Profile
| Full Name | Lexi Ann Hartley |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 2 Years |
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| Location | 571 Main St, Enterprise, Utah |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Lexi Ann Hartley graduated from nursing school in 2024
NPI Data:
- NPI Number: 1902641731
- Provider Enumeration Date: 06/25/2024
- Last Update Date: 06/02/2026
Medicare PECOS Information:
- PECOS PAC ID: 9931647351
- Enrollment ID: I20240816001644
Medical Identifiers
Medical identifiers for Lexi Ann Hartley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1902641731 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 11767398-4405 (Utah) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Revere Health Pc | 7517868508 | 410 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Lexi Ann Hartley allows following entities to bill medicare on her behalf.
| Entity Name | Main Street Family Medicine Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518636844
PECOS PAC ID: 0547650962
Enrollment ID: O20211129001703 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lexi Ann Hartley is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Lexi Ann Hartley, RN, BSN, MSN, FNP-C
1055 N 500 W, Attn Credentialing,
Provo, UT 84604
Ph: (801) 354-8225 | Lexi Ann Hartley, RN, BSN, MSN, FNP-C
571 Main St,
Enterprise, UT 84725
Ph: (435) 878-5711 |
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