Individual provider Active NPI

Bracken C Mesarch, APRN

  • Nurse Practitioner
  • Ogden, UT
National Provider Identifier
1871357426
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
9521708-4405 Issued in UT
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

Updated by the provider on Jun 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240930000921 TX Practitioner - Nurse Practitioner 8224569454 Reassigns benefits to 2 organizations

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
El Paso County Hospital DistrictGroup PAC ID 2365431509, 208 clinicians

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

LicenseStateTypeSpecialty
1167694TXMDNurse Practitioner
9521708-4405UTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
El Paso County Hospital District CurrentSince Aug 19, 2024 Accepting new patients
Umc El Paso Healthcare Inc CurrentSince Aug 19, 2024 Accepting new patients
El Paso County Hospital District CurrentSince Aug 19, 2024 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

  • FHIR API: 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.

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": "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

Verify at the official NPI Registry.