MR. BRAD ROBERT PULSIPHER MSN-FNP
NPI 1073872909
Nurse Practitioner - Primary Care in Riverton, UT

Active since May 12, 2012PECOS EnrolledAccepts Medicare Assignment
12391 S 4000 W, RIVERTON, UT 84096(801) 302-1700 Get Directions Write a Review

NPPES record last updated: December 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 18, 2025, Dec 9, 2025 (2 updates tracked since 2025).

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

NPI1073872909
Entity TypeIndividualMale
Primary Taxonomy363LP2300X
Provider Legal NameMR. BRAD ROBERT PULSIPHERCredential: MSN-FNP
Location Address12391 S 4000 WRiverton, UT 84096-7012
Mailing Address2965 W 3500 SWest Valley City, UT 84119-3602 · (801) 965-3600
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMay 12, 2012
Last NPPES UpdateDecember 18, 20252 updates tracked since enumeration
NPPES CertifiedDecember 18, 2025
NPI 1073872909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in UT · 8211624-4405
Also ListedNurse PractitionerTaxonomy 363L00000X · License 8211624-4405 (UT)
12391 S 4000 W, Riverton, UT 84096

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID7416109376
PECOS Enrollment IDI20260127002822
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 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.

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 20

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

Pediatrics
12391 S 4000 W
RIVERTON, UT 84096
Specialist
12391 S 4000 W, STE 208
RIVERTON, UT 84096
Dentist (General Practice)
12391 S 4000 W, SUITE 206
RIVERTON, UT 84096
Physician Assistant
12391 S 4000 W
RIVERTON, UT 84096
Nurse Practitioner (Family)
12391 S 4000 W
RIVERTON, UT 84096
Clinic/Center (Multi-Specialty)
12391 S 4000 W
RIVERTON, UT 84096
Physician Assistant (Medical)
12391 S 4000 W
RIVERTON, UT 84096
Nurse Practitioner
12391 S 4000 W
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.

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 7 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.