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BRENT LEE THOMPSON NURSE PRACTITIONER
NPI 1063863876
Nurse Practitioner - Primary Care in Slc, UT

Active since June 23, 2016PECOS Enrolled
441 S REDWOOD RD, SLC, UT 84104(801) 973-2588(801) 973-6985 Get Directions Write a Review

NPPES record last updated: June 23, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Brent Lee Thompson Nurse Practitioner NPPES

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

BRENT LEE THOMPSON NURSE PRACTITIONER (NPI 1063863876) is an individual primary care provider in Slc, Utah, licensed in Utah (8021622-8900) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063863876
Entity TypeIndividualMale
Primary Taxonomy363LP2300X
Provider Legal NameBRENT LEE THOMPSONCredential: NURSE PRACTITIONER
Location Address441 S REDWOOD RDSlc, UT 84104-3539
Mailing Address441 S Redwood RdSlc, UT 84104-3539 · (801) 973-2588 · Fax (801) 973-6985
Phone(801) 973-2588
Fax(801) 973-6985
Sole ProprietorYes
Enumeration DateJune 23, 2016
✔ NPI 1063863876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in UT · 8021622-8900
441 S REDWOOD RD, Slc, UT 84104
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brent Lee Thompson Nurse Practitioner 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 Reassignment

Medicare enrollment records show Brent Thompson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ihc Health Services Inc.
0.5 mi
Multi-Specialty
440 D ST, STE 206
Salt Lake City, UT 84103
  • Reassigned Medicare billing, Utah enrollment
  • Also billed through NPI 1922367721 (Utah)
  • 1,729 clinicians in this Medicare group
NPI 1396073276 (801) 408-1396

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 84104 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.

Other Providers at the Same Location NPPES 13

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

STEPHEN D BULLOCK APRN
Nurse Practitioner (Family)
441 S REDWOOD RD
SALT LAKE CITY, UT 84104
Salt Lake County (801) 294-6907
CASEY CRANOR
Nurse Practitioner (Family)
441 S REDWOOD RD
SALT LAKE CITY, UT 84104
Salt Lake County (801) 875-3031
JAMES M WORTLEY PT
Physical Therapist
441 S REDWOOD RD
SALT LAKE CITY, UT 84104
Salt Lake County (801) 975-1403
JOHN R CORKERY MD
Family Medicine
441 S REDWOOD RD
SALT LAKE CITY, UT 84104
Salt Lake County (801) 973-2588
TERRY ALLEN BROWN MD
Family Medicine
441 S REDWOOD RD
SALT LAKE CITY, UT 84104
Salt Lake County (801) 973-2588
BRADLEY S MICHALKO PT
Physical Therapist
441 S REDWOOD RD
SALT LAKE CITY, UT 84104
Salt Lake County (801) 975-1403
WILLIAM F MORBY PT
Physical Therapist
441 S REDWOOD RD
SALT LAKE CITY, UT 84104
Salt Lake County (801) 987-8700
MR. GARRY WELLISCH APRN
Nurse Practitioner (Family)
441 S REDWOOD RD
SALT LAKE CITY, UT 84104
Salt Lake County (801) 973-2588

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 Brent Thompson's NPI number?

The NPI number for Brent Thompson is 1063863876. It was assigned to this individual provider in the NPPES registry on June 23, 2016.

Where is Brent Thompson located?

Brent Thompson practices at 441 S Redwood Rd, Slc, UT 84104. The listed phone number is (801) 973-2588.

What is Brent Thompson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Brent Thompson enrolled in Medicare?

Yes. Brent Thompson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Brent Thompson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brent Thompson reassigns Medicare benefits to Ihc Health Services Inc. (Salt Lake City, UT). The 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 Brent Thompson'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 Brent Thompson was last updated on June 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.