BRANDI NORMAN – Certified Registered Nurse Anesthetist, NPI 1104646041

BRANDI NORMAN is a healthcare provider. based in Orem, Utah. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 152252 (CA). The NPI Number for BRANDI NORMAN is 1104646041

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
BRANDI NORMAN
NPI
1104646041
Phone
(801) 669-7605
Address
513 S 1920 W
Enumeration Date
15 October 2024
Last Update Date
15 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2099432000
Graduation Year
2024 (2 years ago)
PAC ID
6901331651
Group Practice PAC ID
4082754056
Professional Enrollment ID
I20241119001351
Address ID
CA952046019ST1800XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

1,060 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in AZ

Provider Addresses for BRANDI NORMAN

  • 513 S 1920 W

    OREM, UT 840594005

    Phone: (801) 669-7605

    Fax: (801) 669-7605

    Type: Mailing

  • 19555 N 59TH AVE

    GLENDALE, AZ 853086813

    Phone: (623) 572-3200

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-01-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241119001351ICertified Registered Nurse Anesthetist (Crna)CATBD
I20250128004921ICertified Registered Nurse Anesthetist (Crna)AZTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84059)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4082754056View full group profile
NameSpecialtyState
-CA
A N E S T H E S I O L O G YNV
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)ID
Anesthesiology, Critical Care (Intensivists)MI
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YFL
A N E S T H E S I O L O G YCA
Certified Registered Nurse Anesthetist (Crna)CA

Reviews

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Frequently asked questions

Does BRANDI NORMAN have a public NPI I can cite?
Public records show BRANDI NORMAN under NPI 1104646041.
Is BRANDI NORMAN's NPI status active today?
Active status means BRANDI NORMAN's NPI record is not deactivated in the public file.
What type of care does BRANDI NORMAN provide?
BRANDI NORMAN's profile centers on Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to BRANDI NORMAN?
BRANDI NORMAN is associated with Orem, Utah in the same public data insurers reference.
Why is information missing for BRANDI NORMAN?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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