BENJAMIN E BAILEY (RN) – Registered Nurse, NPI 1700144961

BENJAMIN E BAILEY (RN) is a healthcare provider. based in Delta, Utah. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials RN. They hold a License No. 6380651-4406 (UT). The NPI Number for BENJAMIN E BAILEY (RN) is 1700144961

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
BENJAMIN E BAILEY (RN)
NPI
1700144961
Phone
(435) 864-5591
Address
126 White Sage Ave
Enumeration Date
25 April 2012
Last Update Date
14 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4356768842
Graduation Year
2012 (14 years ago)
PAC ID
6507022415
Group Practice PAC ID
6305744459
Professional Enrollment ID
I20170123001441
Address ID
UT847590389PA200XX400X301

Contacts

Main Contact
https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRReguest_Service
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience83
Completeness95
Years active:14State licenses:5Other names

265 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in UT

Provider Addresses for BENJAMIN E BAILEY (RN)

  • 126 White Sage Ave

    Delta, UT 846248937

    Phone: (435) 864-5591

    Type: Location

  • 200 N 400 E

    Panguitch, UT 847597803

    Phone: (435) 676-8811

    Type: Location

  • PO BOX 389

    PANGUITCH, UT 847590389

    Phone:

    Type: Mailing

  • 1900 N HIGLEY RD

    GILBERT, AZ 852341604

    Phone: (480) 981-2400

    Type: Location

  • 4838 E BASELINE RD

    SUITE 108

    MESA, AZ 852064671

    Phone: (480) 981-2400

    Fax: (480) 981-2407

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $40.

Total Amount is formed as General ($40) + Research ($0) + Ownership ($0) = $40.

Last reported payment date: 2024-07-15 • Largest payer in this snapshot: Surmodics, Inc. ($40).

Total Amount

$40

General + Research + Ownership

Payments

1

Total payment records

General Amount

$40

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-15

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Surmodics, Inc.$40
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: 2017-01-23

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
I20170123001441ICertified Registered Nurse Anesthetist (Crna)UTTBD

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 84624)

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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: 6305744459View full group profile
NameSpecialtyState
Family PracticeUT
Family PracticeUT
Family PracticeUT
Nurse PractitionerUT
Physician AssistantUT
Family PracticeOR
Family PracticeUT
Certified Registered Nurse Anesthetist (Crna)UT
Nurse PractitionerUT

Reviews

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Frequently asked questions

How do payers reference BENJAMIN E BAILEY (RN)?
For BENJAMIN E BAILEY (RN), use NPI 1700144961 as the unique 10-digit identifier.
Is BENJAMIN E BAILEY (RN) shown as active in public data?
Registry records indicate BENJAMIN E BAILEY (RN) maintains an active NPI.
What area of care is associated with BENJAMIN E BAILEY (RN)?
BENJAMIN E BAILEY (RN)'s record emphasizes Registered Nurse. Clinical services aligned with this taxonomy classification.
Is BENJAMIN E BAILEY (RN) associated with Delta?
Public fields place BENJAMIN E BAILEY (RN) around Delta, Utah. Always confirm the exact site before visiting.
What does 5 location(s) imply?
5 practice locations appear in the available data.