Individual provider Active NPI

Angala Dee Bryson

  • Nurse Practitioner
  • Roosevelt, UT
National Provider Identifier
1831773449
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
8026005-4405 Issued in UT
Practice address
1262 Fir Ave
Roosevelt, UT 84066-3820
Phone
(801) 455-7492
NPI assigned
May 10, 2021
Last updated
May 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 8026005-8900 UT
Nurse Practitioner 363L00000X 8026005-4405 UT Primary
Registered Nurse 163W00000X 8026005-3102 UT

Addresses

Primary practice location

1262 Fir Ave
Roosevelt, UT 84066-3820

Mailing address

1262 Fir Ave
Roosevelt, UT 84066-3820
Phone (801) 455-7492

Other practice location 1

872 W Highway 40
Vernal, UT 84078-2416
Phone (435) 781-8899

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
I20220322002658 UT Practitioner - Nurse Practitioner 8325433741 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uintah Basin Medical CenterGroup PAC ID 0244131944, 62 clinicians
Northeastern Utah Medical GroupGroup PAC ID 2961496609, 52 clinicians
Ashley Valley Family PracticeGroup PAC ID 6406881747, 3 clinicians

Practice addresses (Care Compare)

210 W 300
Roosevelt, UT 84066-2336

250 W 300
Roosevelt, UT 84066-2336

872 W Hwy 40
Vernal, UT 84078-2416
Phone (435) 781-8899

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.32 of 100Reported as apm
Quality
71.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8026005-3102UTMDRegistered Nurse
8026005-4405UTMDNurse Practitioner
8026005-8900UTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Uintah Basin Medical Center CurrentSince Mar 10, 2022 Accepting new patients
Northeastern Utah Medical Group CurrentSince Mar 10, 2022 Accepting new patients
Uintah Basin Medical Center CurrentSince Mar 10, 2022 Accepting new patients
Northeastern Utah Medical Group CurrentSince Mar 10, 2022 Accepting new patients

Locations

50 E 200 S
Duchesne, UT 84021
Phone (435) 738-2426

210 W 300 N
Roosevelt, UT 84066
Phone (435) 722-4691

250 W 300 N
Roosevelt, UT 84066
Phone (435) 722-4691

250 W 300 N
#752
Roosevelt, UT 84066
Phone (435) 722-4691

Organizations & group practices 5

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1620604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1831773449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1262 FIR AVE",
            "city": "ROOSEVELT",
            "state": "UT",
            "postal_code": "840663820",
            "telephone_number": "801-455-7492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1262 FIR AVE",
            "city": "ROOSEVELT",
            "state": "UT",
            "postal_code": "840663820",
            "telephone_number": "801-455-7492"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "872 W Highway 40",
            "address_purpose": "LOCATION",
            "city": "Vernal",
            "state": "UT",
            "postal_code": "840782416",
            "country_code": "US",
            "telephone_number": "435-781-8899",
            "fax_number": "435-781-8898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRYSON",
        "first_name": "ANGALA",
        "middle_name": "DEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-10",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "8026005-8900",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "8026005-4405",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "UT",
            "license": "8026005-3102",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roosevelt, UT

Sources for this page

Verify at the official NPI Registry.