BROOKE LUDWIG – Primary Care Nurse Practitioner, NPI 1134750110
Primary Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,655 NURSE PRACTITIONER in UT
Provider Addresses for BROOKE LUDWIG
2046 E SUMMER WAY
EAGLE MOUNTAIN, UT 840054260
Phone: (801) 633-8436
Type: Mailing
3435 E PONY EXPRESS PKWY STE 140
EAGLE MOUNTAIN, UT 840055548
Phone: (801) 789-2444
Fax: (801) 789-2045
Type: Location
9600 S 1300 E Ste 230
Sandy, UT 840943785
Phone: (801) 571-7777
Fax: (801) 523-1848
Type: Location
280 S MAIN ST
BOUNTIFUL, UT 840106236
Phone: (801) 505-0821
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 64 Open Payments records for all available years, with a total value of $971.
Total Amount is formed as General ($971) + Research ($0) + Ownership ($0) = $971.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: IDORSIA PHARMACEUTICALS US INC ($213).
Total Amount
$971
General + Research + Ownership
Payments
64
Total payment records
General Amount
$971
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| IDORSIA PHARMACEUTICALS US INC | $213 |
| ABBVIE INC. | $211 |
| Paratek Pharmaceuticals, Inc. | $121 |
| Lilly USA, LLC | $65 |
| Vanda Pharmaceuticals Inc. | $39 |
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: 2020-05-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200515001914 | I | Nurse Practitioner | UT | TBD |
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.
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 84005)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | UT | |
| P O D I A T R Y | WA | |
| P O D I A T R Y | UT | |
| P O D I A T R Y | UT | |
| P O D I A T R Y | UT | |
| P O D I A T R Y | UT | |
| P O D I A T R Y | UT |
Reviews
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