BROOKE DIPOMA BOUWHUIS RDN
NPI 1457063034
Dietitian, Registered in Kaysville, UT
About Brooke Dipoma Bouwhuis Rdn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BROOKE DIPOMA BOUWHUIS RDN (NPI 1457063034) is an individual dietitian, registered in Kaysville, Utah, licensed in Utah (865063) and active in the NPI registry since December 2022. She is a graduate of Other (1998).
NPPES Registry Identity
Specialties & Licenses
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 Dipoma Bouwhuis Rdn 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.
Medicare Billing Reassignment
Medicare enrollment records show Brooke Bouwhuis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Kaysville, UT 84037
- Reassigned Medicare billing, Utah enrollment
- 270 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.
Areas of Expertise CMS Part B claims
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84037 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Bouwhuis's NPI number?
The NPI number for Brooke Bouwhuis is 1457063034. It was assigned to this individual provider in the NPPES registry on December 15, 2022.
Where is Brooke Bouwhuis located?
Brooke Bouwhuis practices at 958 Doris Pl, Kaysville, UT 84037. The listed phone number is (801) 628-8543.
What is Brooke Bouwhuis's specialty?
The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.
Is Brooke Bouwhuis enrolled in Medicare?
Yes. Brooke Bouwhuis 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 Brooke Bouwhuis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brooke Bouwhuis reassigns Medicare benefits to Tanner Memorial Clinic (Kaysville, 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 Brooke Bouwhuis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Brooke Bouwhuis accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and BridgeSpan Health Company and 4 other insurers list Brooke Bouwhuis 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 Bouwhuis was last updated on December 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Brooke Dipoma Bouwhuis, RDN · NPI 1457063034
Dietitian, Registered provider in Kaysville, Utah. Individual provider, active in the CMS NPPES registry since December 15, 2022.
## Identity
- **NPI:** 1457063034 (Entity type: Individual)
- **Enumerated:** December 15, 2022
- **Primary specialty:** Dietitian, Registered · taxonomy 133V00000X
- **State license:** 865063 (Utah)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 958 DORIS PL, Kaysville, UT 84037-6830
- **Phone:** (801) 628-8543
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Tanner Memorial Clinic (NPI 1871572503, Kaysville, UT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1998
## Record status
- **NPPES last updated:** December 15, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1457063034) · Data from the CMS NPPES public registry.