Individual provider Active NPI

Brett Wheatfill, FNP

  • Family Nurse Practitioner
  • Vineyard, UT
National Provider Identifier
1396493086
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9428409-4405 Issued in UT
Practice address
691 E 400 N Ste 110
Vineyard, UT 84059-7509
Phone
(385) 203-0246
Fax
(385) 203-0245
NPI assigned
Mar 13, 2022
Last updated
Aug 18, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95053192 CA
Family Nurse Practitioner 363LF0000X 9428409-4405 UT Primary

Addresses

Primary practice location

691 E 400 N Ste 110
Vineyard, UT 84059-7509

Mailing address

PO Box 912042
Saint George, UT 84791-2042
Phone (435) 215-0230

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
I20220816002633 UT Practitioner - Nurse Practitioner 8224411715 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

389 S 900
Salt Lake City, UT 84102-2310
Phone (385) 282-2205

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95053192CAMDFamily Nurse Practitioner
9428409-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Mar 10, 2024 Accepting new patients
Ihc Health Services Inc CurrentSince Mar 10, 2024 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services Inc Past Accepting new patients

Locations

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

1200 E 3900 S
Slc, UT 84124
Phone (801) 268-7111

389 S 900 E
Slc, UT 84102
Phone (385) 282-2000

652 S Medical Center Dr
Ste 110
St George, UT 84790
Phone (435) 215-0230

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1647129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1396493086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 912042",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847912042",
            "telephone_number": "435-215-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "691 E 400 N STE 110",
            "city": "VINEYARD",
            "state": "UT",
            "postal_code": "840597509",
            "telephone_number": "385-203-0246",
            "fax_number": "385-203-0245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEATFILL",
        "first_name": "BRETT",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-13",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95053192",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "9428409-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineyard, UT

Sources for this page

Verify at the official NPI Registry.