Individual provider Active NPI

Bret G Stoll, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Pleasant Grove, UT
National Provider Identifier
1720883564
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
12142486-4405 Issued in UT
Practice address
1333 S Valley Grove Way
Pleasant Grove, UT 84062-6763
Phone
(801) 683-9992
NPI assigned
Feb 17, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 12142486-4405 UT Primary

Addresses

Primary practice location

1333 S Valley Grove Way
Pleasant Grove, UT 84062-6763

Mailing address

342 E Zion TRL S
Toquerville, UT 84774-5123
Phone (503) 780-3583

Other practice location 1

342 E Zion Trl S
Toquerville, UT 84774-5123
Phone (503) 780-3583

Other practice location 2

5965 S 900 E Ste 100
Murray, UT 84121-1850
Phone (801) 639-9146

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
I20250827000747 UT Practitioner - Nurse Practitioner 4789185380 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
Telehealth
Offers telehealth services
Group practices
Ascendant Behavioral Health LLCGroup PAC ID 1850673187, 62 clinicians

Practice addresses (Care Compare)

5965 S 900
Suite 100
Murray, UT 84121-1850
Phone (385) 419-4261

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ascendant Behavioral Health LLC CurrentSince Aug 1, 2025 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

3051 W Maple Loop Dr
Ste 210
Lehi, UT 84048
Phone (801) 502-3913

5965 S 900 E
Ste 100
Murray, UT 84121
Phone (801) 639-9146

1333 S Valley Grove Way
Ste 200
Pleasant Grove, UT 84062
Phone (801) 849-3148

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.bretstoll@154909.advancedmd-direct.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": "1739750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1720883564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 E ZION TRL S",
            "city": "TOQUERVILLE",
            "state": "UT",
            "postal_code": "847745123",
            "telephone_number": "503-780-3583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 S VALLEY GROVE WAY",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840626763",
            "telephone_number": "801-683-9992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "342 E Zion Trl S",
            "address_purpose": "LOCATION",
            "city": "Toquerville",
            "state": "UT",
            "postal_code": "847745123",
            "country_code": "US",
            "telephone_number": "503-780-3583",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5965 S 900 E Ste 100",
            "address_purpose": "LOCATION",
            "city": "Murray",
            "state": "UT",
            "postal_code": "841211850",
            "country_code": "US",
            "telephone_number": "801-639-9146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOLL",
        "first_name": "BRET",
        "middle_name": "G",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "12142486-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Grove, UT

Sources for this page

Verify at the official NPI Registry.