Individual provider Active NPI

Chase Bailey, DNP

  • Family Nurse Practitioner
  • Roy, UT
National Provider Identifier
1790047157
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6210849-4405 Issued in UT
Practice address
3485 W 5200 S
Roy, UT 84067-9438
Phone
(801) 475-3900
Fax
(801) 475-3901
NPI assigned
Jun 12, 2012
Last updated
Jan 17, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 6210849-4405 UT Primary

Addresses

Primary practice location

3485 W 5200 S
Roy, UT 84067-9438

Mailing address

PO Box 5546
Denver, CO 80217-5546
Phone (801) 475-3900

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
I20120914000218 UT Practitioner - Nurse Practitioner 7012165103 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3451 W 5600
Roy, UT 84067-9112
Phone (801) 896-5600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6210849-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ogden Clinic Specialty Services LLC Current Accepting new patients
Summit Medical Center LLC Family Medicine CurrentSince Jan 20, 2026 Accepting new patients
Ogden Clinic PC Family Medicine CurrentSince Jul 2, 2012 Accepting new patients
Emergency Physicians Integrated Care, LLC CurrentSince Oct 1, 2015 Accepting new patients

Locations

1600 W Antelope Dr
Layton, UT 84041
Phone (801) 807-1000

4650 Harrison Blvd
Ogden, UT 84403
Phone (801) 475-3481

5495 S 500 E
Ste 310
Ogden, UT 84405
Phone (801) 475-3100

1100 W 2700 N
Pleasant View, UT 84404
Phone (801) 475-3600

3451 W 5600 S
Roy, UT 84067
Phone (801) 896-5600

3485 W 5200 S
Roy, UT 84067
Phone (801) 475-3900

5475 S 500 E
South Ogden, UT 84405
Phone (801) 479-2111

3390 W Signal Peak Dr
#121
Taylorsville, UT 84129
Phone (801) 848-9016

3460 S Pioneer Pkwy
West Valley City, UT 84120
Phone (801) 562-4210

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJJGBA

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.

NPI Registry JSON

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484611200000",
    "number": "1790047157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5546",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802175546",
            "telephone_number": "801-475-3900",
            "fax_number": "801-475-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3485 W 5200 S",
            "city": "ROY",
            "state": "UT",
            "postal_code": "840679438",
            "telephone_number": "801-475-3900",
            "fax_number": "801-475-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "CHASE",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-12",
        "last_updated": "2017-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "6210849-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roy, UT

Sources for this page

Verify at the official NPI Registry.