HOLLY WORTLEY
NPI 1720732308
Nurse Practitioner - Primary Care in Bountiful, UT

Active since February 11, 2022PECOS EnrolledAccepts Medicare Assignment
520 MEDICAL DR STE 300, BOUNTIFUL, UT 84010(801) 292-1422 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Holly Wortley NPPES

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

HOLLY WORTLEY (NPI 1720732308) is an individual primary care provider in Bountiful, Utah, licensed in Utah (8297985-4405) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS, is affiliated with Lakeview Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1720732308
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameHOLLY WORTLEY
Location Address520 MEDICAL DR STE 300Bountiful, UT 84010-8925
Mailing Address520 Medical Dr Ste 300Bountiful, UT 84010-8925 · (801) 292-1422
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 11, 2022
NPPES CertifiedFebruary 11, 2022
NPI 1720732308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in UT · 8297985-4405
520 MEDICAL DR STE 300, Bountiful, UT 84010

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Holly Wortley 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 ID1951797794
PECOS Enrollment IDI20220405000521
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.

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.

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.
50 services24 patients

Hospital Affiliations CMS Care Compare

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

Lakeview Hospital

Acute Care Hospitals · Bountiful, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number460042
Location630 East Medical DriveBountiful, UT 84010 · Davis County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84010 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 11

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

Surgery
520 MEDICAL DR STE 300
BOUNTIFUL, UT 84010
Family Medicine
520 MEDICAL DR STE 300
BOUNTIFUL, UT 84010
Internal Medicine
520 MEDICAL DR STE 300
BOUNTIFUL, UT 84010
Internal Medicine
520 MEDICAL DR STE 300
BOUNTIFUL, UT 84010
Nurse Practitioner (Family)
520 MEDICAL DR STE 300
BOUNTIFUL, UT 84010
Internal Medicine
520 MEDICAL DR STE 300
BOUNTIFUL, UT 84010
Nurse Practitioner (Family)
520 MEDICAL DR STE 300
BOUNTIFUL, UT 84010
Internal Medicine
520 MEDICAL DR STE 300
BOUNTIFUL, UT 84010

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 Holly Wortley's NPI number?

The NPI number for Holly Wortley is 1720732308. It was assigned to this individual provider in the NPPES registry on February 11, 2022.

Where is Holly Wortley located?

Holly Wortley practices at 520 Medical Dr Ste 300, Bountiful, UT 84010. The listed phone number is (801) 292-1422.

What is Holly Wortley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Holly Wortley enrolled in Medicare?

Yes. Holly Wortley 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.

What insurance does Holly Wortley accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Holly Wortley 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 Holly Wortley affiliated with any hospitals?

According to CMS data, Holly Wortley is affiliated with Lakeview Hospital.

When was this NPI record last updated?

The NPPES record for Holly Wortley was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.