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ELLOIS WILSON BAILEY DNP, APRN, PMHNP-BC
NPI 1639432461
Nurse Practitioner - Psychiatric/Mental Health in Riverton, UT

Active since June 18, 2012PECOS Enrolled
12760 S PARK AVE UNIT 216, RIVERTON, UT 84065(801) 598-9812(888) 256-5101 Get Directions Write a Review

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

Record update history: Jul 17, 2023, Jun 18, 2019 (2 updates tracked since 2019).

About Ellois Wilson Bailey Dnp, Aprn, Pmhnp-bc NPPES

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

ELLOIS WILSON BAILEY DNP, APRN, PMHNP-BC (NPI 1639432461) is an individual psychiatric/mental health provider in Riverton, Utah, licensed in Utah (211181-4408) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639432461
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameELLOIS WILSON BAILEYCredential: DNP, APRN, PMHNP-BC
Location Address12760 S PARK AVE UNIT 216Riverton, UT 84065-3409
Mailing Address12760 S Park Ave Unit 216Riverton, UT 84065-3409 · (801) 598-9812
Phone(801) 598-9812
Fax(888) 256-5101
Sole ProprietorNo
Enumeration DateJune 18, 2012
Last NPPES UpdateJuly 18, 20252 updates tracked since enumeration
NPPES CertifiedJuly 18, 2025
✔ NPI 1639432461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in UT · 211181-4408
12760 S PARK AVE UNIT 216, Riverton, UT 84065
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ellois Wilson Bailey Dnp, Aprn, Pmhnp-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 84065 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 2

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

AMBER DEDEN RN
Registered Nurse (Psychiatric/Mental Health)
12760 S PARK AVE UNIT 216
RIVERTON, UT 84065
Salt Lake County (801) 598-9812
JARICKA BLUNDELL LAU APRN
Nurse Practitioner (Psychiatric/Mental Health)
12760 S PARK AVE UNIT 216
RIVERTON, UT 84065
Salt Lake County (801) 598-9812

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 Ellois Bailey's NPI number?

The NPI number for Ellois Bailey is 1639432461. It was assigned to this individual provider in the NPPES registry on June 18, 2012.

Where is Ellois Bailey located?

Ellois Bailey practices at 12760 S Park Ave Unit 216, Riverton, UT 84065. The listed phone number is (801) 598-9812.

What is Ellois Bailey's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Ellois Bailey enrolled in Medicare?

Yes. Ellois Bailey is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ellois Bailey was last updated on July 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.