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MR. BENJAMIN N BOTCHWAY APRN, FNP-BC
NPI 1467698084
Nurse Practitioner - Family in Salt Lake City, UT

Active since January 02, 2009PECOS Enrolled
1640 W 500 S, SALT LAKE CITY, UT 84104(801) 886-0930(801) 886-0956 Get Directions Write a Review

NPPES record last updated: December 18, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Benjamin N Botchway Aprn, Fnp-bc NPPES

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

MR. BENJAMIN N BOTCHWAY APRN, FNP-BC (NPI 1467698084) is an individual family provider in Salt Lake City, Utah, licensed in Utah (337207-4405) and active in the NPI registry since January 2009. He is enrolled in Medicare PECOS and maintains a secondary practice location in West Valley City.

NPPES Registry Identity

NPI1467698084
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. BENJAMIN N BOTCHWAYCredential: APRN, FNP-BC
Location Address1640 W 500 SSalt Lake City, UT 84104-5202
Mailing Address1798 N Stallion LnSalt Lake City, UT 84116-1115 · (801) 440-8233 · Fax (801) 886-0956
Phone(801) 886-0930
Fax(801) 886-0956
Sole ProprietorYes
Enumeration DateJanuary 2, 2009
Last NPPES UpdateDecember 18, 2020
NPPES CertifiedDecember 17, 2020
✔ NPI 1467698084 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 · 337207-4405
1640 W 500 S, Salt Lake City, UT 84104
Open in Google Maps ↗

Secondary Practice Location 1

Location 14070 S 4000 WWest Valley City, UT 84120-4040 · Phone (801) 955-1644 · Fax (801) 955-1750

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Benjamin N Botchway Aprn, Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84104 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 3

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

FIRST CARE MEDICAL-ORTHOMED LLC
Clinic/Center (Medical Specialty)
1640 W 500 S
SALT LAKE CITY, UT 84104
Salt Lake County (385) 365-5053
GABRIEL ENRIQUE MACIEL CNP
Nurse Practitioner (Family)
1640 W 500 S
SALT LAKE CITY, UT 84104
Salt Lake County (385) 499-5318
FIRST CARE MEDICAL-FAMILY MEDICINE, LLC
Family Medicine
1640 W 500 S
SALT LAKE CITY, UT 84104
Salt Lake County (801) 886-0930

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 Botchway's NPI number?

The NPI number for Benjamin Botchway is 1467698084. It was assigned to this individual provider in the NPPES registry on January 2, 2009.

Where is Benjamin Botchway located?

Benjamin Botchway practices at 1640 W 500 S, Salt Lake City, UT 84104. The listed phone number is (801) 886-0930.

What is Benjamin Botchway's specialty?

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

Is Benjamin Botchway enrolled in Medicare?

Yes. Benjamin Botchway is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Benjamin Botchway was last updated on December 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.