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

Q: 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.

Q: What is Callie Bradley's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Callie Bradley was last updated on September 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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: July 26, 2026.

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

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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

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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, and ordering and referring status from the CMS PECOS system.

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.

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.

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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