BRANDIE BLOOD RUDY (APRN) – Nurse Practitioner, NPI 1417435199

BRANDIE BLOOD RUDY (APRN) is a healthcare provider. based in West valley city, Utah. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 284292-4405 (UT). The NPI Number for BRANDIE BLOOD RUDY (APRN) is 1417435199

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
BRANDIE BLOOD RUDY (APRN)
NPI
1417435199
Phone
(801) 965-3600
Address
2965 W 3500 S
Enumeration Date
3 August 2018
Last Update Date
23 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8019653505
Graduation Year
2018 (8 years ago)
PAC ID
1658619333
Group Practice PAC ID
3476465691
Professional Enrollment ID
I20190206000005
Address ID
UT840844312WE7181XDRXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

2,655 NURSE PRACTITIONER in UT

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Provider Addresses for BRANDIE BLOOD RUDY (APRN)

  • 2965 W 3500 S

    WEST VALLEY CITY, UT 841193602

    Phone: (801) 965-3600

    Type: Mailing

  • 7464, Park Maple Drive, West Jordan, Salt Lake County, Utah, 84081, United States

    WEST JORDAN, UT 840813379

    Phone: (801) 884-3640

    Type: Mailing

  • 7181 S CAMPUS VIEW DR STE 200

    WEST JORDAN, UT 840844312

    Phone: (801) 965-3505

    Type: Mailing

  • 4252 S HIGHLAND DR STE 200

    HOLLADAY, UT 841242690

    Phone: (801) 993-1800

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 84 Open Payments records for all available years, with a total value of $1,644.

Total Amount is formed as General ($1,644) + Research ($0) + Ownership ($0) = $1,644.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Boston Scientific Corporation ($204).

Total Amount

$1,644

General + Research + Ownership

Payments

84

Total payment records

General Amount

$1,644

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2019-02-06

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190206000005INurse PractitionerUTTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J0585Injection, onabotulinumtoxina, 1 unit4,50133$0
81000Manual urinalysis test with examination using microscope, non-automated225162$0
99214Established patient office or other outpatient visit, 30-39 minutes171138$0
99213Established patient office or other outpatient visit, 20-29 minutes145119$0
99204New patient office or other outpatient visit, 45-59 minutes7373$0
View full utilization report →

Insurance plans in this area (ZIP 84119)

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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: 3476465691View full group profile
NameSpecialtyState
Nurse PractitionerUT
U R O L O G YUT
-UT
Pain ManagementUT
Physician AssistantUT
-UT
Sports Medicine, Family PracticeUT
-UT
Family PracticeUT
Internal MedicineUT

Reviews

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Frequently asked questions

How is BRANDIE BLOOD RUDY (APRN) identified in CMS data?
CMS-hosted NPPES data lists BRANDIE BLOOD RUDY (APRN) with NPI 1417435199.
Can I rely on BRANDIE BLOOD RUDY (APRN) being an active provider?
As of the registry snapshot, BRANDIE BLOOD RUDY (APRN) is marked active.
What taxonomy line describes BRANDIE BLOOD RUDY (APRN)?
For research purposes, treat BRANDIE BLOOD RUDY (APRN) as Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Does BRANDIE BLOOD RUDY (APRN) list a practice location?
Patients near West Valley City, Utah may find BRANDIE BLOOD RUDY (APRN) in results; validate coverage separately.
Is the information about BRANDIE BLOOD RUDY (APRN) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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