HOLLY WORTLEY
NPI 1720732308
Nurse Practitioner - Primary Care in Bountiful, UT
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
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
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.
Medicare Billing Reassignments
3Medicare enrollment records show Holly Wortley reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bountiful, UT 84010
- Reassigned Medicare billing, Utah enrollment
- 33 clinicians in this Medicare group
Bountiful, UT 84010
- Reassigned Medicare billing, Utah enrollment
- 35 clinicians in this Medicare group
Logan, UT 84341
- Reassigned Medicare billing, Utah enrollment
- 31 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.
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, UTPhysician 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.
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.
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.
Which organizations bill Medicare for Holly Wortley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Holly Wortley reassigns Medicare benefits to 3 organizations: Joshua Oaks MD PLLC (Bountiful, UT), (Bountiful, UT) and (Logan, UT). 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 Holly Wortley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Holly Wortley · NPI 1720732308
Primary Care physician in Bountiful, Utah. Individual provider, active in the CMS NPPES registry since February 11, 2022.
## Identity
- **NPI:** 1720732308 (Entity type: Individual)
- **Enumerated:** February 11, 2022
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 8297985-4405 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 520 MEDICAL DR STE 300, Bountiful, UT 84010-8925
- **Phone:** (801) 292-1422
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Joshua Oaks MD PLLC (NPI 1184125668, Bountiful, UT); (NPI 1205221405, Bountiful, UT); (NPI 1235191495, Logan, UT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** February 11, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1720732308) · Data from the CMS NPPES public registry.