MRS. KRISTIN KAY BRADBURY-KRISTENSEN NP
NPI 1770853558
Nurse Practitioner - Neonatal in Salt Lake City, UT

Q: What is Kristin Bradbury-kristensen's NPI number?

The NPI number for Kristin Bradbury-kristensen is 1770853558. It was assigned to this individual provider in the NPPES registry on January 10, 2012.

Q: What is Kristin Bradbury-kristensen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

Active since January 10, 2012PECOS Enrolled

100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113(801) 662-4183 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 5, 2026, May 17, 2021 (2 updates tracked since 2021).

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About Mrs. Kristin Kay Bradbury-kristensen Np NPPES

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

MRS. KRISTIN KAY BRADBURY-KRISTENSEN NP (NPI 1770853558) is an individual neonatal provider in Salt Lake City, Utah, licensed in Utah (327855-4405) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bountiful, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1770853558

Entity TypeIndividualFemale

Primary Taxonomy363LN0000X

Provider Legal NameMRS. KRISTIN KAY BRADBURY-KRISTENSENCredential: NP

Location Address100 N MARIO CAPECCHI DRSalt Lake City, UT 84113-1103

Mailing AddressPo Box 30180Salt Lake City, UT 84130-0180 · (801) 662-4183

Phone(801) 662-4183

Sole ProprietorYes

Medical School CMSOtherGraduated 2006

Enumeration DateJanuary 10, 2012

Last NPPES UpdateMay 5, 20262 updates tracked since enumeration

NPPES CertifiedMay 5, 2026

✔ NPI 1770853558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LN0000X

License✔ Licensed in UT · 327855-4405

Also ListedClinical Nurse Specialist · NeonatalTaxonomy 364SN0000X · License 327855-4405 (UT)

100 N MARIO CAPECCHI DR, Salt Lake City, UT 84113

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Secondary Practice Location 1

Location 13302 S 300 WBountiful, UT 84010-7957 · Phone (801) 598-9570

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kristin Kay Bradbury-kristensen Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5597221929

PECOS Enrollment IDI20260727002815

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.

Medicare Billing Reassignment

Medicare enrollment records show Kristin Bradbury-kristensen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Utah Pediatric Acuity Care

Same address

Pediatric Emergency Medicine

100 N MARIO CAPECCHI DR
Salt Lake City, UT 84113

Reassigned Medicare billing, Utah enrollment
202 clinicians in this Medicare group

NPI 1538523675 (801) 587-6336

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84113 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 20

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

KEEGAN MARIE RYAN PT, DPT

Physical Therapist