Brandie Blood Rudy, APRN - Medicare Nurse Practitioner in Holladay, UT

Brandie Blood Rudy, APRN is a medicare enrolled "Nurse Practitioner" in Holladay, Utah. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Granger Medical Clinic Pc, Granger Medical Specialists Llc and her current practice location is 4252 S Highland Dr Ste 200, Holladay, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 993-1800.

Brandie Blood Rudy is licensed to practice in Utah (license number 284292-4405) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1417435199.

Contact Information

Brandie Blood Rudy, APRN
4252 S Highland Dr Ste 200,
Holladay, UT 84124-2690
(801) 993-1800
Not Available

Map and Direction




Provider's Profile

Full NameBrandie Blood Rudy
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location4252 S Highland Dr Ste 200, Holladay, Utah
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Brandie Blood Rudy graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1417435199
  • Provider Enumeration Date: 08/03/2018
  • Last Update Date: 04/19/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1658619333
  • Enrollment ID: I20190206000005

Medical Identifiers

Medical identifiers for Brandie Blood Rudy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417435199NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 284292-4405 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Alta View HospitalSandy, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Granger Medical Clinic Pc3476465691149
Granger Medical Specialists Llc4587074356155

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Brandie Blood Rudy allows following entities to bill medicare on her behalf.
Entity NameGranger Medical Clinic Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184657041
PECOS PAC ID: 3476465691
Enrollment ID: O20031105000159
Entity NameGranger Medical Specialists Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376159368
PECOS PAC ID: 4587074356
Enrollment ID: O20201105002207

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brandie Blood Rudy is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Brandie Blood Rudy, APRN
7181 S Campus View Dr Ste 200,
West Jordan, UT 84084-4312

Ph: (801) 965-3505
Brandie Blood Rudy, APRN
4252 S Highland Dr Ste 200,
Holladay, UT 84124-2690

Ph: (801) 993-1800

Reviews and Comments


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Medicare: Not Enrolled in Medicare
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Lillian Farris, DNP, APRN, PMHNP-BC
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Medicare: Not Enrolled in Medicare
Practice Location: 4525 S 2300 E Ste 102, Holladay, UT 84117
Phone: 385-313-0401    Fax: 385-313-9762

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.