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CALLIE BRADLEY APRN
NPI 1053761924
Nurse Practitioner - Family in Salt Lake City, UT

Active since June 21, 2016PECOS Enrolled
10 S 2000 E, SALT LAKE CITY, UT 84112(801) 581-3414 Get Directions Write a Review

NPPES record last updated: September 20, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 20, 2024, May 13, 2024, Jun 21, 2016 (3 updates tracked since 2016).

About Callie Bradley Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CALLIE BRADLEY APRN (NPI 1053761924) is an individual family provider in Salt Lake City, Utah, licensed in Virginia (0024186726) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1053761924
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCALLIE BRADLEYCredential: APRN
Location Address10 S 2000 ESalt Lake City, UT 84112-5880
Mailing Address724 S Mason StHarrisonburg, VA 22807-1050 · (435) 559-4653
Phone(801) 581-3414
Sole ProprietorNo
Enumeration DateJune 21, 2016
Last NPPES UpdateSeptember 20, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2024
✔ NPI 1053761924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in VA · 0024186726✔ Licensed in UT · 8635924-4405
10 S 2000 E, Salt Lake City, UT 84112
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11840 E Market StHarrisonburg, VA 22801-5100 · Phone (540) 432-3080
Location 2724 S Mason StHarrisonburg, VA 22807-1050 · Phone (435) 559-4653

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Callie Bradley Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Callie Bradley reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Utah Adult Services
0.2 mi
Ophthalmology
65 MARIO CAPECCHI DR
Salt Lake City, UT 84132
  • Reassigned Medicare billing, Utah enrollment
  • 2,620 clinicians in this Medicare group
NPI 1447653241 (801) 581-2352
Medexpress Urgent Care Arkansas, P.A.
1,001 mi
Urgent Care
1005 SE WALTON BLVD
Bentonville, AR 72712
  • Reassigned Medicare billing, Arkansas enrollment
  • Medicare enrollment name: Medexpress Urgent Care Arkansas PA
  • 52 clinicians in this Medicare group
NPI 1376964056 (479) 254-6734
Medexpress Urgent Care, PC - Virginia
1,651 mi
Urgent Care
1583 N MAIN ST STE A
Marion, VA 24354
  • Reassigned Medicare billing, Virginia enrollment
  • 156 clinicians in this Medicare group
NPI 1528581063 (276) 782-1173

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84112 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
99%146 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
34%146 patients2/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHLEE NELSON RN, BSN
Student in an Organized Health Care Education/Training Program
10 S 2000 E
SLC, UT 84112
Salt Lake County (702) 948-0600
MS. SUSANNA ROSE COHEN RN, CNM, NP, MS, PHN
Advanced Practice Midwife
10 S 2000 E
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-8244
CHASE MICHAEL SEXTON
Student in an Organized Health Care Education/Training Program
10 S 2000 E
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-3414
DEJA RAYNE NELSON DNP, APRN, FNP-C
Nurse Practitioner
10 S 2000 E
SALT LAKE CITY, UT 84112
Salt Lake County (801) 389-1101
MISS CELIA NICOLE MARIE JOTTE BSN
Registered Nurse (Women's Health Care, Ambulatory)
10 S 2000 E
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-3414
JESIKA LYNN CHAVEZ-ENGLAND RN
Registered Nurse (College Health)
10 S 2000 E
SALT LAKE CITY, UT 84112
Salt Lake County (801) 646-7835
SARAH JEAN KIDDE CNM
Midwife
10 S 2000 E
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-4014
TAYLOR NICOLE KEYES
Student in an Organized Health Care Education/Training Program
10 S 2000 E
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-3414

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Callie Bradley's NPI number?

The NPI number for Callie Bradley is 1053761924. It was assigned to this individual provider in the NPPES registry on June 21, 2016.

Where is Callie Bradley located?

Callie Bradley practices at 10 S 2000 E, Salt Lake City, UT 84112. The listed phone number is (801) 581-3414.

What is Callie Bradley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Callie Bradley enrolled in Medicare?

Yes. Callie Bradley is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Callie Bradley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Callie Bradley reassigns Medicare benefits to 3 organizations: University Of Utah Adult Services (Salt Lake City, UT), Medexpress Urgent Care Arkansas, P.A. (Bentonville, AR) and Medexpress Urgent Care, PC - Virginia (Marion, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Callie Bradley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Callie Bradley was last updated on September 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.