BENJAMIN BERTHOLD PMHNP
NPI 1235741679
Nurse Practitioner in Salt Lake City, UT
About Benjamin Berthold Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BENJAMIN BERTHOLD PMHNP (NPI 1235741679) is an individual nurse practitioner in Salt Lake City, Utah, licensed in Utah (14241564-4405) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Benjamin Berthold Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84123 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.
TAYLORSVILLE, UT 84123
TAYLORSVILLE, UT 84123
TAYLORSVILLE, UT 84123
TAYLORSVILLE, UT 84123
SALT LAKE CITY, UT 84123
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 Benjamin Berthold's NPI number?
The NPI number for Benjamin Berthold is 1235741679. It was assigned to this individual provider in the NPPES registry on August 18, 2020.
Where is Benjamin Berthold located?
Benjamin Berthold practices at 5770 S 1500 W, Salt Lake City, UT 84123. The listed phone number is (801) 265-3412.
What is Benjamin Berthold's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Benjamin Berthold enrolled in Medicare?
Yes. Benjamin Berthold is registered in the Medicare PECOS enrollment system.
What insurance does Benjamin Berthold accept?
Health plans from Blue Cross Blue Shield of Arizona list Benjamin Berthold 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 Benjamin Berthold was last updated on May 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Benjamin Berthold, PMHNP · NPI 1235741679
Nurse Practitioner physician in Salt Lake City, Utah. Individual provider, active in the CMS NPPES registry since August 18, 2020.
## Identity
- **NPI:** 1235741679 (Entity type: Individual)
- **Enumerated:** August 18, 2020
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 14241564-4405 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 5770 S 1500 W, Salt Lake City, UT 84123-5216
- **Phone:** (801) 265-3412
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** May 1, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1235741679) · Data from the CMS NPPES public registry.