Individual provider Active NPI

Bailee Michelle Hamilton, NP

  • Nurse Practitioner
  • Orem, UT
National Provider Identifier
1598450470
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
10348389-4405 Issued in UT
Practice address
159 N 400 W Ste B-8
Orem, UT 84057-1909
Phone
(385) 262-4135
Fax
(801) 899-7996
NPI assigned
Apr 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 10348389-4405 UT
Student in an Organized Health Care Education/Training Program 390200000X
Nurse Practitioner 363L00000X 10348389-4405 UT Primary

Addresses

Primary practice location

159 N 400 W Ste B-8
Orem, UT 84057-1909

Mailing address

5253 N Canyon Rd
Provo, UT 84604-5432
Phone (928) 890-7869

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
I20231013002097 UT Practitioner - Nurse Practitioner 0547615312 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Promise Medical PLLCGroup PAC ID 5799037594, 2 clinicians

Practice addresses (Care Compare)

159 N 400
Orem, UT 84057-1909
Phone (385) 262-4135

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10348389-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Promise Medical PLLC CurrentSince Oct 1, 2023 Accepting new patients

Locations

159 N 400 W
Orem, UT 84057

159 N 400 W
#B8
Orem, UT 84057
Phone (385) 262-4135

159 N 400 W
Ste B8
Orem, UT 84057
Phone (385) 262-4135

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20258/brand/1/csg/1/fhir/r4
  • Direct secure messaging: bailee.hamilton.1@20258.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.

NPI Registry JSON

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

{
    "created_epoch": "1680825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1598450470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5253 N CANYON RD",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846045432",
            "telephone_number": "928-890-7869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 N 400 W STE B-8",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840571909",
            "telephone_number": "385-262-4135",
            "fax_number": "801-899-7996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "BAILEE",
        "middle_name": "MICHELLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-07",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "10348389-4405",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "10348389-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orem, UT

Sources for this page

Verify at the official NPI Registry.