Active NPI
Grace Belliston, APRN
- Psychiatric/Mental Health Clinical Nurse Specialist
- Ogden, UT
National Provider Identifier
1104080712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Clinical Nurse Specialist
- License
- 223913-4405
- Practice address
- 982 Chambers St
Ogden, UT 84403-4571 - Phone
- (801) 479-4105
- NPI assigned
- Jul 12, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0808X | 223913-4405 | UT | Primary |
Addresses
Primary practice location
982 Chambers St
Ogden, UT 84403-4571
Mailing address
982 Chambers St
Ogden, UT 84403-4571
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Clinical Nurse Specialist (CNS)
- Education
- University of Utah School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
248 E 13800
Suite 4
Draper, UT 84020-5011
Phone (702) 483-5044
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.69 of 100
- Quality
- 89.02
- Promoting interoperability
- 85
- Improvement activities
- 40
- Cost
- 55.8
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 223913-4405 | UT | MD | Psychiatric/Mental Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deborah a Christensen PHD & Associates, Inc | Current | Accepting new patients |
Locations
248 E 13800 S
Ste 4
Draper, UT 84020
Phone (702) 483-5044
Interoperability endpoints
- grace.belliston.1@24259.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Psychologist
- Draper, UT
- NPI 1891955936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215820800000",
"number": "1104080712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "982 CHAMBERS ST",
"city": "OGDEN",
"state": "UT",
"postal_code": "844034571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "982 CHAMBERS ST",
"city": "OGDEN",
"state": "UT",
"postal_code": "844034571",
"telephone_number": "801-479-4105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELLISTON",
"first_name": "GRACE",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-12",
"last_updated": "2008-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0808X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
"state": "UT",
"license": "223913-4405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.