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

Ammon Lott, NP

Individual provider Nurse Practitioner · NPI 1902489032

Ammon Lott, NP is a Nurse Practitioner in Provo, Utah. Qualified in 2021, 5 years ago. Practices with Revere Health PC, a 410-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
5
Licensed in
UT
In the registry since
2021
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

395 W Bulldog Blvd
Provo, UT 84604-3311
Phone: (801) 357-7081
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 280 River Park Dr Ste 200, Provo, UT 84604-5793 — (801) 223-4860
  • 972 N 600 E, Spanish Fork, UT 84660-1306 — (801) 465-4896

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 9801445-4405 (UT)

Record details

NPI number1902489032
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedMay 5, 2021
Last updated in NPPESNovember 21, 2025
Certification dateNovember 21, 2025
Mailing addressPo Box 27128, Salt Lake City, UT 84127-0128

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Revere Health Pc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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