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BERNARD M MUTIE APRN
NPI 1396255360
Nurse Practitioner - Gerontology in Draper, UT

Active since October 04, 2017PECOS EnrolledAccepts Medicare Assignment
12433 S FORT ST, DRAPER, UT 84020(801) 576-1086(801) 576-9796 Get Directions Write a Review

NPPES record last updated: June 11, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Bernard M Mutie Aprn NPPES

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

BERNARD M MUTIE APRN (NPI 1396255360) is an individual gerontology provider in Draper, Utah, licensed in Utah (79878114405) and active in the NPI registry since October 2017. He is enrolled in Medicare PECOS, is affiliated with Mckay-dee Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1396255360
Entity TypeIndividualMale
Primary Taxonomy363LG0600X
Provider Legal NameBERNARD M MUTIECredential: APRN
Location Address12433 S FORT STDraper, UT 84020-9363
Mailing Address5505 S 900 EHolladay, UT 84117-7209 · (801) 783-5011 · Fax (801) 746-3734
Phone(801) 576-1086
Fax(801) 576-9796
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 4, 2017
Last NPPES UpdateJune 11, 2020
NPPES CertifiedJune 11, 2020
✔ NPI 1396255360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in UT · 79878114405
12433 S FORT ST, Draper, UT 84020
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

Bernard M Mutie Aprn 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 ID749547891
PECOS Enrollment IDI20171128003813
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

3

Medicare enrollment records show Bernard Mutie reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Utah Regional Hospitalists LLC
10 mi
Hospitalist
5505 S 900 E STE 240
Murray, UT 84117
  • Reassigned Medicare billing, Utah enrollment
  • 271 clinicians in this Medicare group
NPI 1962821223 (844) 474-4019
Santibanez Pac Utah
14 mi
Geriatric Medicine
451 E BISHOP FEDERAL LN
Salt Lake City, UT 84115
  • Reassigned Medicare billing, Utah enrollment
  • 55 clinicians in this Medicare group
NPI 1881469484 (801) 487-7557
Post Acute Medical PLLC
1,855 mi
Geriatric Medicine
6710 MALLERY DR
Lanham, MD 20706
  • Reassigned Medicare billing, Utah enrollment
  • 49 clinicians in this Medicare group
NPI 1730713025 (888) 408-7008

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

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
1,487 services298 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
351 services17 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
326 services265 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
165 services163 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
138 services95 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
47 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mckay-Dee Hospital

Acute Care Hospitals · Ogden, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460004
Location4401 Harrison BoulevardOgden, UT 84403 · Weber County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84020 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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

General use wheelchair seat cushion, width less than 22 inches, any depth E2601
DME-Wheelchairs · category DD021N
3 suppliers11 claims11 services$37.42 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers68 claims68 services$18.61 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier13 claims13 services$34.88 avg. paid by Medicare
Extra heavy duty wheelchair K0007
DME-Wheelchairs · category DD000N
1 supplier18 claims18 services$73.14 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

PIONEER INJURY CARE
Nurse Practitioner
12433 S FORT ST
DRAPER, UT 84020
Salt Lake County (801) 576-1086
HANNAH BJORKMAN STAUBER PMHNP-C
Nurse Practitioner (Psychiatric/Mental Health)
12433 S FORT ST
DRAPER, UT 84020
Salt Lake County (801) 576-1086
HEATHER HARRISON HARDY FNP
Nurse Practitioner (Family)
12433 S FORT ST
DRAPER, UT 84020
Salt Lake County (801) 572-0828

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 Bernard Mutie's NPI number?

The NPI number for Bernard Mutie is 1396255360. It was assigned to this individual provider in the NPPES registry on October 4, 2017.

Where is Bernard Mutie located?

Bernard Mutie practices at 12433 S Fort St, Draper, UT 84020. The listed phone number is (801) 576-1086.

What is Bernard Mutie's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Bernard Mutie enrolled in Medicare?

Yes. Bernard Mutie 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 Bernard Mutie's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bernard Mutie reassigns Medicare benefits to 3 organizations: Utah Regional Hospitalists LLC (Murray, UT), Santibanez Pac Utah (Salt Lake City, UT) and Post Acute Medical PLLC (Lanham, MD). 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 Bernard Mutie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bernard Mutie accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and Select Health list Bernard Mutie 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.

Is Bernard Mutie affiliated with any hospitals?

According to CMS data, Bernard Mutie is affiliated with Mckay-Dee Hospital.

When was this NPI record last updated?

The NPPES record for Bernard Mutie was last updated on June 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.