Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Cerissa Nicole Johnson Heth

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1952040974

Mrs. Cerissa Nicole Johnson Heth is a Nurse Practitioner in South Ogden, Utah. Qualified in 2022, 4 years ago. Practices with Tanner Memorial Clinic, a 252-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
4
Licensed in
UT
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

South Ogden, UT

No coordinates on file. Search this address in Google Maps

Additional practice locations (1)

  • 4602 W 1100 S, West Point, UT 84015-7779 — (801) 859-5856

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 11591617-4405 (UT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1952040974
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 27, 2022
Last updated in NPPESJanuary 13, 2023
Certification dateJanuary 13, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Tanner Memorial Clinic — 252 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients233
Services billed 539 a service is one billed item, such as a visit, a test or a procedure
Average patient age78

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • Intermountain Health McKay-Dee Hospital Hospital · Ogden, UT

Colleagues at Tanner Memorial Clinic

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 252 clinicians in the practice; 12 are shown here.

Other providers in South Ogden