Sonja J Bates, APRN

Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Salt Lake City, UT

NPI 1699868950 · NPPES record last updated Oct 21, 2021

Key facts

NPI
1699868950
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
License
277543-4405 (UT)
Practice address
451 Bishop Federal LN
Salt Lake City, UT 84115-2357
Phone
(801) 487-7557
Fax
(801) 487-1112
NPI assigned
Oct 1, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 10

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.

Hospital & facility affiliations 3

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

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Successor Healthcare LLC (3 clinicians)
University of Utah Behavioral Health Services (185 clinicians)

Practice addresses (Care Compare)

451 E Bishop Federal LN
Salt Lake City, UT 84115-2357
Phone (801) 487-7557

501 S Chipeta Way
Salt Lake City, UT 84108-1222
Phone (801) 585-1575

Hospital & facility affiliations

  • University of Utah Hospital and Clinics Hospital · Salt Lake City, UT · CCN 460009

Merit-based Incentive Payment System (MIPS)

Final score
89.22 of 100 (group)
Quality
83.74
Promoting interoperability
100
Improvement activities
40
Cost
66.87

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 IDStateProvider typePAC IDDetails
I20051114000899 UT Practitioner - Nurse Practitioner 1254350739 Reassigns benefits to 4 organizations
Practice locations: Salt Lake City, UT

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
277543-4405UTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah Pediatric Behavioral Health Services Current
since Feb 1, 2017
Accepting new patients
University of Utah Behavioral Health Services Current Accepting new patients
University of Utah Pediatric Behavioral Health Services Current Accepting new patients
University of Utah Pediatric Behavioral Health Services Current
since Feb 1, 2017
Accepting new patients
University of Utah Behavioral Health Services Current
since Feb 1, 2017
Accepting new patients
Successor Healthcare LLC Current
since Apr 11, 2017
Accepting new patients
Comprehensive Psychological Services Inc Current
since Jul 1, 2014
Accepting new patients
University of Utah Behavioral Health Services Current
since Feb 1, 2017
Accepting new patients
Advanced Behavioral Care, Inc. Past
since Nov 22, 1999
Accepting new patients

Locations

1208 E 3300 S
Millcreek, UT 84106
Phone (801) 450-1128

501 S Chipeta Way
Slc, UT 84108
Phone (801) 581-7951

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

451 E Bishop Federal Ln
South Salt Lake, UT 84115
Phone (801) 487-7557

Interoperability endpoints

  • Direct secure messaging: sbates239058@direct.med.utah.edu

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 277543-4405 UT Yes

Addresses

Primary practice location

451 Bishop Federal LN
Salt Lake City, UT 84115-2357

Mailing address

PO Box 17963
Salt Lake City, UT 84117-0963
Phone (801) 674-6376

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address sbates239058@direct.med.utah.edu Health Information Exchange (HIE) University of Utah

Other providers in Salt Lake City, UT

All providers in Salt Lake City, UT · Psychiatric/Mental Health Nurse Practitioner in Utah

Sources for this page

Verify at the official NPI Registry.