Individual provider Active NPI

Brynn Jenkins Jorgensen, FNP-BC

  • Family Nurse Practitioner
  • Sandy, UT
National Provider Identifier
1093579740
Registry record updated Apr 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9043364-4405 Issued in UT
Practice address
11075 S State St Ste 3
Sandy, UT 84070-5165
Phone
(801) 696-9459
Fax
(802) 494-4742
NPI assigned
Feb 12, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal Intensive Care Registered Nurse 163WN0002X 9043364-3102 UT
Family Nurse Practitioner 363LF0000X 9043364-4405 UT Primary

Addresses

Primary practice location

11075 S State St Ste 3
Sandy, UT 84070-5165

Mailing address

11075 S State St Ste 3
Sandy, UT 84070-5165
Phone (385) 335-2654

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250324003264 UT Practitioner - Nurse Practitioner 6901328590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Sandy, UT 84070
Phone (385) 335-2654

Hospital & facility affiliations

  • Solstice Home Health, LLC Home health agency, Salt Lake City, UT, CCN 467343

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9043364-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Propertunity Metrix Family CurrentSince Nov 9, 2025 Accepting new patients
Mod-Doc Inc CurrentSince Feb 20, 2025 Accepting new patients

Locations

38 W 13775 S
Ste 110
Draper, UT 84020
Phone (801) 449-9229

138 E 12300 S
Unit 657
Draper, UT 84020

11560 S State St
Draper, UT 84020

1188 W Sportsplex Dr
Ste 102
Kaysville, UT 84037
Phone (801) 447-1647

1741 N 2000 W
Ste 4
Ogden, UT 84404
Phone (385) 470-0150

11075 S State St
Ste 3
Sandy, UT 84070
Phone (801) 610-6406

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775865600000",
    "number": "1093579740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11075 S STATE ST STE 3",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840705165",
            "telephone_number": "385-335-2654",
            "fax_number": "802-494-4742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11075 S STATE ST STE 3",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840705165",
            "telephone_number": "801-696-9459",
            "fax_number": "802-494-4742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORGENSEN",
        "first_name": "BRYNN",
        "middle_name": "JENKINS",
        "name_prefix": "Dr.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-12",
        "last_updated": "2026-04-11",
        "certification_date": "2026-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WN0002X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neonatal Intensive Care",
            "state": "UT",
            "license": "9043364-3102",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "9043364-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, UT

Sources for this page

Verify at the official NPI Registry.