MR. BRADEN WILSON WOLTHUIS (ACNP) – Acute Care Nurse Practitioner, NPI 1629342548

Acute Care Nurse Practitioner

MR. BRADEN WILSON WOLTHUIS (ACNP) is a healthcare provider. based in Ogden, Utah. specializing in Acute Care Nurse Practitioner. They hold the professional credentials ACNP. They hold a License No. 8055787-3102 (UT). The NPI Number for MR. BRADEN WILSON WOLTHUIS (ACNP) is 1629342548

Main info

Male

15 Years Of Experience

Accepts Medicare Assignment

Name

MR. BRADEN WILSON WOLTHUIS (ACNP)

NPI

1629342548

Phone

(801) 387-2371

Address

4401 HARRISON BOULEVARD

Enumeration Date

24 February 2012

Last Update Date

18 June 2019

Doctor Profile

Medical School Name

OTHER

Secondary Phone

8015818793

Graduation Year

2011 (15 years ago)

PAC ID

6901050822

Group Practice PAC ID

0941525273

Professional Enrollment ID

I20130131000095

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience51

Completeness75

Years active:14State licenses:2Digital endpointsOther names

Provider Addresses for MR. BRADEN WILSON WOLTHUIS (ACNP)

4401 HARRISON BOULEVARD
MCKAY-DEE HOSPITAL ACUTE PAIN SERVICE
OGDEN, UT 84403
Phone: (801) 387-2371
Mailing address matches the actual address.

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 84403)

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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: 0941525273View full group profile

Name	Specialty	State
BREYNN ENTWISTLE (PA-C)	-	UT
DR. EDWARD M GILBERT (MD)	-	UT
JEFFREY DRUCK (MD)	Emergency Medicine	CO
HUGH F. HARNSBERGER (MD)	-	UT
JENNIFER JEAN DAVIS	A N E S T H E S I O L O G Y	UT
QUINTON ALLRED (PA-C)	Physician Assistant	UT
TAMMY L SMITH (M.D. PHD)	-	IL
FATMA BETUL TUNCER (MD)	Plastic And Reconstructive Surgery	OH
AMY ROSENBAUM (PA-C)	Physician Assistant	CA
STEVEN I. BOTT	A N E S T H E S I O L O G Y	UT

Reviews

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Frequently asked questions

What identifier follows MR. BRADEN WILSON WOLTHUIS (ACNP) across health systems?

The NPI 1629342548 uniquely identifies MR. BRADEN WILSON WOLTHUIS (ACNP) in U.S. healthcare data.

Should I treat MR. BRADEN WILSON WOLTHUIS (ACNP) as an active provider?

Patients and plans typically see MR. BRADEN WILSON WOLTHUIS (ACNP) as active in the national extract.

Which specialty label fits MR. BRADEN WILSON WOLTHUIS (ACNP)?

NPPES ties MR. BRADEN WILSON WOLTHUIS (ACNP) to Acute Care Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.

Which community is linked to MR. BRADEN WILSON WOLTHUIS (ACNP)?

MR. BRADEN WILSON WOLTHUIS (ACNP) shows a connection to Ogden, Utah in registry-derived data.

Can I export MR. BRADEN WILSON WOLTHUIS (ACNP)'s record?

You can download the official NPPES record; we summarize key fields for readability.