Individual provider Active NPI

Brian Hoskisson, APRN, PMHNP-BC, BSN

  • Psychiatric/Mental Health Nurse Practitioner
  • Murray, UT
National Provider Identifier
1750070546
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
7986793-4405 Issued in UT
Practice address
4516 S 700 E Ste 370
Murray, UT 84107-8317
Phone
(801) 597-4408
NPI assigned
May 5, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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 7986793-4405 UT Primary

Addresses

Primary practice location

4516 S 700 E Ste 370
Murray, UT 84107-8317

Mailing address

290 Loop TRL
Dutch John, UT 84023-9718

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
I20241002001501 UT Practitioner - Nurse Practitioner 2668903519 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
7986793-4405UTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Mental Health LLC Psychiatric/Mental Health CurrentSince Oct 1, 2024 Accepting new patients
Clinical Consultants Family Clinic PastSince May 1, 2023 Accepting new patients

Locations

4516 S 700 E
Ste 370
Salt Lake City, UT 84107
Phone (385) 449-9990

Organizations & group practices 2

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": "1683244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1750070546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 LOOP TRL",
            "city": "DUTCH JOHN",
            "state": "UT",
            "postal_code": "840239718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4516 S 700 E STE 370",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841078317",
            "telephone_number": "801-597-4408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSKISSON",
        "first_name": "BRIAN",
        "credential": "APRN, PMHNP-BC, BSN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-05",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "7986793-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

Verify at the official NPI Registry.