BROCK HASKELL
NPI 1821627746
Physician Assistant in Draper, UT

Active since April 02, 2020PECOS EnrolledAccepts Medicare Assignment
11620 S STATE ST STE 1403, DRAPER, UT 84020(385) 302-7369(385) 247-8023 Get Directions Write a Review

NPPES record last updated: January 23, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 23, 2023, Sep 27, 2022, Jun 8, 2021 and 3 more (6 updates tracked since 2020).

About Brock Haskell NPPES

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

BROCK HASKELL (NPI 1821627746) is an individual physician assistant in Draper, Utah, licensed in Utah (11856179-1206) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Tooele, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1821627746
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBROCK HASKELL
Location Address11620 S STATE ST STE 1403Draper, UT 84020-7124
Mailing Address11620 S State St Ste 1403Draper, UT 84020-7124 · (385) 302-7369 · Fax (385) 247-8023
Fax(385) 247-8023
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateApril 2, 2020
Last NPPES UpdateJanuary 23, 20236 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2023
NPI 1821627746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in UT · 11856179-1206 Licensed in CA · 57989
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

11620 S STATE ST STE 1403, Draper, UT 84020

Secondary Practice Location 1

Location 12356 N 400 E Ste 201Tooele, UT 84074-3409 · Phone (435) 882-2350 · Fax (435) 882-2039

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

Brock Haskell 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 ID42621450
PECOS Enrollment IDI20201204000659
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.
71 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84020 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
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
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.

Psychologist (Clinical)
11620 S STATE ST STE 1403
DRAPER, UT 84020
Clinic/Center (Mental Health (Including Community Mental Health Center))
11620 S STATE ST STE 1403
DRAPER, UT 84020
Social Worker (Clinical)
11620 S STATE ST STE 1403
DRAPER, UT 84020

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 Brock Haskell's NPI number?

The NPI number for Brock Haskell is 1821627746. It was assigned to this individual provider in the NPPES registry on April 2, 2020.

Where is Brock Haskell located?

Brock Haskell practices at 11620 S State St Ste 1403, Draper, UT 84020. The listed phone number is (385) 302-7369.

What is Brock Haskell's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Brock Haskell enrolled in Medicare?

Yes. Brock Haskell 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 Brock Haskell accept?

Health plans from Molina Healthcare and University of Utah Health Plans list Brock Haskell 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.

When was this NPI record last updated?

The NPPES record for Brock Haskell was last updated on January 23, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.