MR. BRAD ROBERT PULSIPHER MSN-FNP
NPI 1073872909
Nurse Practitioner - Primary Care in Riverton, UT
About Mr. Brad Robert Pulsipher Msn-fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. BRAD ROBERT PULSIPHER MSN-FNP (NPI 1073872909) is an individual primary care provider in Riverton, Utah, licensed in Utah (8211624-4405) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Brad Robert Pulsipher Msn-fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Brad Pulsipher reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Riverton, UT 84065
- Reassigned Medicare billing, Utah enrollment
- 190 clinicians in this Medicare group
West Valley City, UT 84119
- Reassigned Medicare billing, Utah enrollment
- 188 clinicians in this Medicare group
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 84096 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
RIVERTON, UT 84096
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 Brad Pulsipher's NPI number?
The NPI number for Brad Pulsipher is 1073872909. It was assigned to this individual provider in the NPPES registry on May 12, 2012.
Where is Brad Pulsipher located?
Brad Pulsipher practices at 12391 S 4000 W, Riverton, UT 84096. The listed phone number is (801) 302-1700.
What is Brad Pulsipher's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Brad Pulsipher enrolled in Medicare?
Yes. Brad Pulsipher is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Brad Pulsipher's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brad Pulsipher reassigns Medicare benefits to 2 organizations: Granger Medical Clinic, PC (Riverton, UT) and Granger Medical Specialists LLC (West Valley City, UT). 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 Brad Pulsipher's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Brad Pulsipher accept?
Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Brad Pulsipher as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Brad Pulsipher was last updated on December 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.
# Mr. Brad Robert Pulsipher, MSN-FNP · NPI 1073872909
Primary Care physician in Riverton, Utah. Individual provider, active in the CMS NPPES registry since May 12, 2012.
## Identity
- **NPI:** 1073872909 (Entity type: Individual)
- **Enumerated:** May 12, 2012
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 8211624-4405 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 12391 S 4000 W, Riverton, UT 84096-7012
- **Phone:** (801) 302-1700
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Granger Medical Clinic, PC (NPI 1649541699, Riverton, UT); Granger Medical Specialists LLC (NPI 1376159368, West Valley City, UT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** December 18, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1073872909) · Data from the CMS NPPES public registry.