Paige Brooks, APRN, DNP-PMHNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Ogden, UT
NPI 1023715380 · NPPES record last updated Jul 12, 2023
Key facts
- NPI
- 1023715380
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 11768869-4405 (UT)
- Practice address
- 237 26TH St
Ogden, UT 84401-3105 - Phone
- (801) 625-3700
- NPI assigned
- Feb 7, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- University of Utah School of Medicine, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Weber Human Services
Practice addresses (Care Compare)
237 26TH St
Ogden, UT 84401-3105
Phone (801) 625-3700
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240830000277 | UT | Practitioner - Nurse Practitioner | 8325587694 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11768869-3102 | UT | MD | Registered Nurse |
| 11768869-4405 | UT | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weber Human Services | Current |
Accepting new patients | |
| Weber Human Services | Current |
Accepting new patients |
Locations
237 26th St
Ogden, UT 84401
Phone (801) 625-3605
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 11768869-3102 | UT | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 11768869-4405 | UT | Yes |
Addresses
Primary practice location
237 26TH St
Ogden, UT 84401-3105
Mailing address
5083 Sunset LN
South Ogden, UT 84403-4227
Other providers in Ogden, UT
- Walter Evan Brodis
- David E Brodstein
- Aaron Matthew Bronson
- Alan Wayne Brooks
- Chet David Brooks
- Brookshire Inc
- Brookshire, Inc
- Brookstar Knee Clinic II
- Brookstar Knee Clinic, LLC.
- Brookview Pain Management Inc
All providers in Ogden, UT · Psychiatric/Mental Health Nurse Practitioner in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.