Active NPI
Bracken C Mesarch, APRN
- Nurse Practitioner
- Ogden, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 9521708-4405
- Practice address
- 4403 Harrison Blvd Ste 3815
Ogden, UT 84403-3330 - Phone
- (801) 387-5620
- NPI assigned
- Feb 13, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 9521708-4405 | UT | Primary |
| Nurse Practitioner | 363L00000X | 1167694 | TX |
Addresses
Primary practice location
4403 Harrison Blvd Ste 3815
Ogden, UT 84403-3330
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Other practice location 1
4455 Shadow Willow Dr
El Paso, TX 79922-2220
Phone (808) 927-0719
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Bluemark LLC/ Office Ally |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4815 Alameda Ave
El Paso, TX 79905-2705
Phone (915) 521-7902
4824 Alberta Ave
El Paso, TX 79905-2709
4845 Alameda Ave
El Paso, TX 79905-2705
Phone (915) 298-5444
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1167694 | TX | MD | Nurse Practitioner |
| 9521708-4405 | UT | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| El Paso County Hospital District | Current | Accepting new patients | |
| Umc El Paso Healthcare Inc | Current | Accepting new patients | |
| El Paso County Hospital District | Current | Accepting new patients |
Locations
4500 N Mesa St
El Paso, TX 79912
Phone (915) 532-9000
1393 George Dieter Dr
El Paso, TX 79936
Phone (915) 228-4915
4815 Alameda Ave
El Paso, TX 79905
Phone (915) 215-6000
1393 George Dieter Dr
Ste A
El Paso, TX 79936
Phone (915) 231-2381
Interoperability endpoints
- https://api.platform.athenahealth.com/24611/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- El Paso, TX
- NPI 1316936990
-
- General Practice Physician
- El Paso, TX
- NPI 1528683810
-
- General Acute Care Hospital
- El Paso, TX
- NPI 1619747938
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- El Paso, TX
- NPI 1316936990
-
- General Acute Care Hospital
- El Paso, TX
- NPI 1619747938
-
- General Acute Care Hospital
- Las Cruces, NM
- NPI 1700821808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782259200000",
"number": "1871357426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27128",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841270128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4403 HARRISON BLVD STE 3815",
"city": "OGDEN",
"state": "UT",
"postal_code": "844033330",
"telephone_number": "801-387-5620"
}
],
"practiceLocations": [
{
"address_1": "4455 Shadow Willow Dr",
"address_purpose": "LOCATION",
"city": "El Paso",
"state": "TX",
"postal_code": "799222220",
"country_code": "US",
"telephone_number": "808-927-0719",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MESARCH",
"first_name": "BRACKEN",
"middle_name": "C",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-02-13",
"last_updated": "2026-06-24",
"certification_date": "2026-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "UT",
"license": "9521708-4405",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "1167694",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.2019.3",
"affiliationName": "Bluemark LLC/ Office Ally",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CMS esMD eMDR",
"address_1": "1300 SE Cardinal Ct Ste 190",
"city": "Vancouver",
"state": "WA",
"country_code": "US",
"postal_code": "986839683",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.