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BRANDIE BLOOD RUDY APRN
NPI 1417435199
Nurse Practitioner in Holladay, UT

Active since August 03, 2018PECOS EnrolledAccepts Medicare Assignment
4252 S HIGHLAND DR STE 200, HOLLADAY, UT 84124(801) 993-1800 Get Directions Write a Review

NPPES record last updated: January 23, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 19, 2022, Mar 3, 2022, Aug 3, 2018 (3 updates tracked since 2018).

About Brandie Blood Rudy Aprn NPPES

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

BRANDIE BLOOD RUDY APRN (NPI 1417435199) is an individual nurse practitioner in Holladay, Utah, licensed in Utah (284292-4405) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, is affiliated with Intermountain Health Alta View Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1417435199
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameBRANDIE BLOOD RUDYCredential: APRN
Location Address4252 S HIGHLAND DR STE 200Holladay, UT 84124-2690
Mailing Address2965 W 3500 SWest Valley City, UT 84119-3602 · (801) 965-3600
Phone(801) 993-1800
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 3, 2018
Last NPPES UpdateJanuary 23, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2025
✔ NPI 1417435199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in UT · 284292-4405
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
4252 S HIGHLAND DR STE 200, Holladay, UT 84124
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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 and more.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

Brandie Blood Rudy 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 ID1658619333
PECOS Enrollment IDI20190206000005
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 Brandie Rudy reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Granger Medical Clinic, Inc.
0.9 mi
Primary Care
1250 E 3900 S, SUITE 250
Salt Lake City, UT 84124
  • Reassigned Medicare billing, Utah enrollment
  • 190 clinicians in this Medicare group
NPI 1447667217 (801) 268-6283
Granger Medical Specialists LLC
8.3 mi
Clinic/Center
2965 W 3500 S
West Valley City, UT 84119
  • Reassigned Medicare billing, Utah enrollment
  • 188 clinicians in this Medicare group
NPI 1376159368 (801) 965-3600
Signify Health, LLC
987 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Utah enrollment
  • 145 clinicians in this Medicare group
NPI 1689158487 (469) 466-7007

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 10

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.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
5,600 services35 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
218 services172 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
145 services129 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
87 services69 patients
Manual urinalysis test with examination using microscope, non-automated 81000
A manual urinalysis test involves studying a urine sample under a microscope. This non-automated method helps identify any abnormal substances present. It's a useful tool for detecting potential health concerns early. The process is simple and non-invasive.
84 services61 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
75 services75 patients

Hospital Affiliations CMS Care Compare 4

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

Intermountain Health Alta View Hospital

Acute Care Hospitals · Sandy, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460044
Location9660 South 1300 EastSandy, UT 84094 · Salt Lake County
Emergency services Birthing friendly

St Mark's Hospital

Acute Care Hospitals · Salt Lake City, UT
3/5 CMS rating
OwnershipProprietary
CMS Certification Number460047
Location1200 East 3900 SouthSalt Lake City, UT 84124 · Salt Lake County
Emergency services Birthing friendly

Riverton Hospital

Acute Care Hospitals · Riverton, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460058
Location3741 West 12600 SouthRiverton, UT 84065 · Salt Lake County
Emergency services Birthing friendly

Lone Peak Hospital

Acute Care Hospitals · Draper, UT
5/5 CMS rating
OwnershipProprietary
CMS Certification Number460060
Location11925 South State StreetDraper, UT 84020 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84124 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 9

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

AUDREY DEAN M.D.
Dermatology
4252 S HIGHLAND DR STE 200
SALT LAKE CITY, UT 84124
Salt Lake County (801) 262-3600
CATHERINE RUSSO PA-C
Physician Assistant (Surgical)
4252 S HIGHLAND DR STE 200
SALT LAKE CITY, UT 84124
Salt Lake County (801) 993-1800
MR. MARK P PULVER PA
Physician Assistant
4252 S HIGHLAND DR STE 200
SALT LAKE CITY, UT 84124
Salt Lake County (801) 262-3600
CRISTINA REGALADO PA-C
Physician Assistant
4252 S HIGHLAND DR STE 200
SALT LAKE CITY, UT 84124
Salt Lake County (801) 993-1800
JAMES R CRAIG JR. MD
Urology
4252 S HIGHLAND DR STE 200
SALT LAKE CITY, UT 84124
Salt Lake County (801) 993-1800
MR. BRUCE WARELO SPERRY PT, PA-C
Physician Assistant (Surgical)
4252 S HIGHLAND DR STE 200
HOLLADAY, UT 84124
Salt Lake County (801) 993-1800
DR. SHEETAL SHAH MD
Internal Medicine (Nephrology)
4252 S HIGHLAND DR STE 200
HOLLADAY, UT 84124
Salt Lake County (801) 965-3600
DR. PETER ALEXANDER CAPUTO MD
Urology
4252 S HIGHLAND DR STE 200
HOLLADAY, UT 84124
Salt Lake County (801) 993-1800

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 Brandie Rudy's NPI number?

The NPI number for Brandie Rudy is 1417435199. It was assigned to this individual provider in the NPPES registry on August 3, 2018.

Where is Brandie Rudy located?

Brandie Rudy practices at 4252 S Highland Dr Ste 200, Holladay, UT 84124. The listed phone number is (801) 993-1800.

What is Brandie Rudy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Brandie Rudy enrolled in Medicare?

Yes. Brandie Rudy 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 Brandie Rudy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brandie Rudy reassigns Medicare benefits to 3 organizations: Granger Medical Clinic, Inc. (Salt Lake City, UT), Granger Medical Specialists LLC (West Valley 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 Brandie Rudy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brandie Rudy accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Brandie Rudy 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 Brandie Rudy affiliated with any hospitals?

According to CMS data, Brandie Rudy is affiliated with Intermountain Health Alta View Hospital, St Mark's Hospital, Riverton Hospital and Lone Peak Hospital.

When was this NPI record last updated?

The NPPES record for Brandie Rudy was last updated on January 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.