Brittney Andersen, APRN
Individual provider Active NPI Nurse Practitioner · Draper, UT
NPI 1174831408 · NPPES record last updated Jan 24, 2014
Key facts
- NPI
- 1174831408
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 61133094405 (UT)
- Practice address
- 12433 Fort St
Draper, UT 84020-9363 - Phone
- (801) 576-1086
- Fax
- (801) 576-9796
- NPI assigned
- Sep 21, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 11
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1133 N Main St
Suite 210
Layton, UT 84041-4873
Phone (435) 512-0353
1133 N Main St
Suite 300
Layton, UT 84041-4800
Phone (801) 513-5173
1133 N Main St
Suite 300
Layton, UT 84041-5339
Hospital & facility affiliations
- Atlas Home Care
- Cascade Springs Home Healthcare
- Canyon Home Care
- Specialty Nursing Services
- Icare Home Health
- Intermountain Health McKay-Dee Hospital
- Cache Valley Hospital
- Intermountain Health Logan Regional Hospital
- Holy Cross Hospital-Davis
- Brigham City Community Hospital
- Mt Ogden Health and Rehabilitation Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 14.65 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 48.85
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 |
|---|---|---|---|---|
| I20130104000131 | UT | Practitioner - Nurse Practitioner | 4688862360 |
Reassigns benefits to 1 organization Practice locations: Layton, UT |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61133094405 | UT | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Afi Hospice LLC | Family Medicine | Past |
Accepting new patients |
| Pioneer Injury Care | Nurse Practitioner | Past |
Accepting new patients |
| Country Lane Payson Operating LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 61133094405 | UT | Yes |
Addresses
Primary practice location
12433 Fort St
Draper, UT 84020-9363
Mailing address
12433 Fort St
Draper, UT 84020-9363
Phone (801) 576-1086
Other providers in Draper, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2014. 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.