Active NPI
Kiley Bearden
- Family Nurse Practitioner
- Orem, UT
National Provider Identifier
1336932136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 10836932-4405
- Practice address
- 750 W 800 N
Orem, UT 84057-3660 - Phone
- (801) 714-6000
- NPI assigned
- May 24, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 10836932-4405 | UT | Primary |
Addresses
Primary practice location
750 W 800 N
Orem, UT 84057-3660
Mailing address
750 W 800 N
Orem, UT 84057-3660
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250814004596 | UT | Practitioner - Nurse Practitioner | 5496254757 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Emergency Physicians Integrated Care LLC
Practice addresses (Care Compare)
750 W 800
Orem, UT 84057-3660
Phone (801) 851-1499
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10836932-4405 | UT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physicians Integrated Care, LLC | Current | Accepting new patients |
Locations
750 W 800 N
Orem, UT 84057
Phone (801) 714-6000
2690 N 600 W
Pleasant View, UT 84414
Phone (801) 786-7911
333 N 300 W
Salt Lake City, UT 84103
Phone (801) 463-7415
1050 E South Temple
Slc, UT 84102
Phone (801) 350-4111
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.
-
- Emergency Medicine Physician
- Salt Lake City, UT
- NPI 1578598199
UT
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752796800000",
"number": "1336932136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 W 800 N",
"city": "OREM",
"state": "UT",
"postal_code": "840573660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 W 800 N",
"city": "OREM",
"state": "UT",
"postal_code": "840573660",
"telephone_number": "801-714-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEARDEN",
"first_name": "KILEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-24",
"last_updated": "2025-07-18",
"certification_date": "2025-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "UT",
"license": "10836932-4405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orem, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; 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.