BROOKE CHILD
NPI 1124912332
Nurse Practitioner - Family in Tooele, UT

Active since June 04, 2025PECOS EnrolledAccepts Medicare Assignment
526 W 1360 N, TOOELE, UT 84074(801) 631-0720 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 16, 2026, Nov 14, 2025, Jun 4, 2025 (3 updates tracked since 2025).

About Brooke Child NPPES

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

BROOKE CHILD (NPI 1124912332) is an individual family provider in Tooele, Utah, licensed in Utah (10968099-4405) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1124912332
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBROOKE CHILD
Location Address526 W 1360 NTooele, UT 84074-1892
Mailing Address526 W 1360 NTooele, UT 84074-1892 · (801) 631-0720
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJune 4, 2025
Last NPPES UpdateMarch 16, 20263 updates tracked since enumeration
NPPES CertifiedMarch 16, 2026
✔ NPI 1124912332 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
License✔ Licensed in UT · 10968099-4405
526 W 1360 N, Tooele, UT 84074

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

Brooke Child 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 ID8527565878
PECOS Enrollment IDI20251010002934
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 Reassignments

2

Medicare enrollment records show Brooke Child reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Endocrinology, Diabetes & Metabolism
470 EAST 3900 SOUTH, #200
Salt Lake City, UT 84107
  • Reassigned Medicare billing, Utah enrollment
  • 15 clinicians in this Medicare group
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Utah enrollment
  • 145 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 84074 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.

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 Brooke Child's NPI number?

The NPI number for Brooke Child is 1124912332. It was assigned to this individual provider in the NPPES registry on June 4, 2025.

Where is Brooke Child located?

Brooke Child practices at 526 W 1360 N, Tooele, UT 84074. The listed phone number is (801) 631-0720.

What is Brooke Child's specialty?

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

Is Brooke Child enrolled in Medicare?

Yes. Brooke Child 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 Brooke Child's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brooke Child reassigns Medicare benefits to 2 organizations: Utah Endocrinology Associates PLLC (Salt Lake City, UT) and Signify Health, LLC (Dallas, TX). 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 Brooke Child's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brooke Child accept?

Health plans from Molina Healthcare and University of Utah Health Plans list Brooke Child 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 Brooke Child was last updated on March 16, 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.