Coalette Bedke, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

361027-4405 Issued in UT

Practice address

1664 S Dixie Dr Ste E102
St George, UT 84770-7329

Phone

(435) 703-9647

Fax

(435) 703-6003

NPI assigned

Jan 24, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT, AZ, NV3 enrollments

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 3

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• St. George Regional Hospital Hospital, St George, UT, CCN 460021
• Mesa View Regional Hospital Hospital, Mesquite, NV, CCN 291307

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: coalette.bedke.p1@direct.canyonlands.nextgenshare.com

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.

• Trauma Treatment & Counseling LLC

  • Clinical Social Worker
  • St George, UT
  • NPI 1881353290
  Medicare reassignment NPD
• Canyonlands Community Health Care

  • Family Medicine Physician
  • Page, AZ
  • NPI 1609966860
  Medicare reassignment NPD
• Canyonlands Community Health Care

  dba Canyonlands - Mesquite

  • Federally Qualified Health Center (FQHC)
  • Mesquite, NV
  • NPI 1902471303
  Medicare reassignment NPD
• Canyonlands Community Health Care

  dba Canyonlands Health Care - Clifton

  • Federally Qualified Health Center (FQHC)
  • Clifton, AZ
  • NPI 1134568660
  NPD
• Canyonlands Community Health Care

  dba Canyonlands Healthcare - Adams Chiropractic

  • Federally Qualified Health Center (FQHC)
  • Page, AZ
  • NPI 1457187981
  NPD

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

• Ihc Health Services, Inc.

  dba Intermountain Health St. George Regional Hospital

  • General Acute Care Hospital
  • St George, UT
  • NPI 1366452880
  Care Compare affiliation
• MMC of Nevada LLC

  dba Mesa View Regional Hospital

  • Critical Access Hospital
  • Mesquite, NV
  • NPI 1275588782
  Care Compare affiliation

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

{
    "created_epoch": "1642982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1295487999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1664 S DIXIE DR STE E102",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847707329",
            "telephone_number": "435-703-9647",
            "fax_number": "435-703-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1664 S DIXIE DR STE E102",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847707329",
            "telephone_number": "435-703-9647",
            "fax_number": "435-703-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDKE",
        "first_name": "COALETTE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-24",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "361027-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beckstrom Orthodontics
• Brian Beckstrom
• Brice William Beckstrom, DMD, MS
• Taryn Beckstrom
• Amy Bedell
• Jesse Ray Beebe, LCSW
• Beehive Homes of Washington County, Inc.
• Beehive Homes of Washington County, Inc.
• Beehive Homes of Washington County, Inc.
• Steven James Beeke

• Family Nurse Practitioner in St George, UT
• Providers in St George, UT by specialty
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.

Verify at the official NPI Registry.