1. Home
  2. Directory
  3. Utah
  4. Tooele
  5. Registered Nurse
  6. NPI Profile

TYSON JAMES BRINKERHOFF PMHNP-BC
NPI 1104624774
Registered Nurse in Tooele, UT

Active since March 07, 2025PECOS EnrolledAccepts Medicare Assignment
1244 N MAIN ST STE 101, TOOELE, UT 84074(435) 260-5521(435) 359-5221 Get Directions Write a Review

NPPES record last updated: March 20, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 20, 2026, Mar 4, 2026, Jan 25, 2026 and 3 more (6 updates tracked since 2025).

About Tyson James Brinkerhoff Pmhnp-bc NPPES

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

TYSON JAMES BRINKERHOFF PMHNP-BC (NPI 1104624774) is an individual registered nurse in Tooele, Utah, licensed in Utah (10826752-3102) and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1104624774
Entity TypeIndividualMale
Primary Taxonomy163W00000X
Provider Legal NameTYSON JAMES BRINKERHOFFCredential: PMHNP-BC
Location Address1244 N MAIN ST STE 101Tooele, UT 84074-9839
Mailing Address1244 N Main St Ste 101Tooele, UT 84074-9839 · (435) 244-3143 · Fax (435) 359-5221
Phone(435) 260-5521
Fax(435) 359-5221
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 7, 2025
Last NPPES UpdateMarch 20, 20266 updates tracked since enumeration
NPPES CertifiedMarch 20, 2026
✔ NPI 1104624774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License✔ Licensed in UT · 10826752-3102
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 10826752-4405 (UT)
1244 N MAIN ST STE 101, Tooele, UT 84074
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health.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

Tyson James Brinkerhoff Pmhnp-bc 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 ID5799261087
PECOS Enrollment IDI20260107001056
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 Tyson Brinkerhoff reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Amdb Medical LLC
Same address
Family Medicine
1244 N MAIN ST STE 101
Tooele, UT 84074
  • Reassigned Medicare billing, Utah enrollment
  • 3 clinicians in this Medicare group
NPI 1205711157 (435) 249-0007

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

Other Providers at the Same Location NPPES 5

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

PAULETTE NIELSON
Registered Nurse (Infusion Therapy)
1244 N MAIN ST STE 101
TOOELE, UT 84074
Tooele County (435) 249-0007
AMDB MEDICAL LLC
Family Medicine
1244 N MAIN ST STE 101
TOOELE, UT 84074
Tooele County (435) 249-0007
AMATORIA WELLNESS PC
Clinic/Center (Primary Care)
1244 N MAIN ST STE 101
TOOELE, UT 84074
Tooele County (801) 637-1175
DANIEL CHRISTENSEN
Registered Nurse (Women's Health Care, Ambulatory)
1244 N MAIN ST STE 101
TOOELE, UT 84074
Tooele County (435) 249-0007
CHERISE KORTIE
Registered Nurse
1244 N MAIN ST STE 101
TOOELE, UT 84074
Tooele County (435) 999-2399

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 Tyson Brinkerhoff's NPI number?

The NPI number for Tyson Brinkerhoff is 1104624774. It was assigned to this individual provider in the NPPES registry on March 7, 2025.

Where is Tyson Brinkerhoff located?

Tyson Brinkerhoff practices at 1244 N Main St Ste 101, Tooele, UT 84074. The listed phone number is (435) 260-5521.

What is Tyson Brinkerhoff's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Is Tyson Brinkerhoff enrolled in Medicare?

Yes. Tyson Brinkerhoff 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 organization bills Medicare for Tyson Brinkerhoff's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tyson Brinkerhoff reassigns Medicare benefits to Amdb Medical LLC (Tooele, 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 Tyson Brinkerhoff's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tyson Brinkerhoff accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and Select Health list Tyson Brinkerhoff 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 Tyson Brinkerhoff was last updated on March 20, 2026. 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.