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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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 (42 clinicians)

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 IDStateProvider typePAC IDDetails
I20240830000277 UT Practitioner - Nurse Practitioner 8325587694 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11768869-3102UTMDRegistered Nurse
11768869-4405UTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Weber Human Services Current
since Sep 1, 2024
Accepting new patients
Weber Human Services Current
since Sep 1, 2024
Accepting new patients

Locations

237 26th St
Ogden, UT 84401
Phone (801) 625-3605

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

All providers in Ogden, UT · Psychiatric/Mental Health Nurse Practitioner in Utah

Sources for this page

Verify at the official NPI Registry.