STACI JANAE BRANDENBURG PA-C
NPI 1487279626
Physician Assistant - Medical in West Valley City, UT
NPI Status: Active since June 13, 2020
Contact Information
2965 W 3500 S
WEST VALLEY CITY, UT
ZIP 84119
Phone: (801) 965-3419
- Individual
- Female
- Physician Assistant
- Medical
- Accepts Insurance
- PECOS Enrolled
About STACI BRANDENBURG
This page provides the complete NPI Profile along with additional information for Staci Brandenburg, a primary care provider established in West Valley City, Utah with a medical specialization in Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1487279626 assigned on June 2020. The practitioner's primary taxonomy code is 363AM0700X with license number 12602904-8906 (UT). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1487279626
- Provider Name
- STACI JANAE BRANDENBURG PA-C
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2965 W 3500 S WEST VALLEY CITY, UT 84119
- Location Phone
- (801) 965-3419
- Mailing Address
- 2965 W 3500 S WEST VALLEY CITY, UT 84119
- Mailing Phone
- (801) 965-3600
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-13-2020
- Last Update Date
- 10-14-2024
- Code Navigator
A primary care provider (PCP) like Staci Brandenburg sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Secondary Locations
- 6749 S Sienna Park Ln
Midvale, UT 84047
(435) 238-0202
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Medical
- Taxonomy Code
- 363AM0700X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 12602904-8906
- License State
- UT
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | 12602904-8906 (UT) |
| 2 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program | (UT) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- Med Benchmark Expanded Bronze Select Copay Plan - HMO
- Med Benchmark Expanded Bronze Standardized Plan - HMO
- Med Benchmark Gold Standardized Plan - HMO
- Med Benchmark Platinum - HMO
- Med Benchmark Platinum Standardized Plan - HMO
- Med Benchmark Silver 6000 Medical Deductible w/Vision - HMO
- Med Benchmark Silver Standardized Plan - HMO
- Med Gold 1500 Medical Deductible - HMO
- Signature Benchmark Gold - HMO
- Signature Benchmark Gold Standardized Plan - HMO
- Signature Benchmark Silver 5900 Medical Deductible - HMO
- Signature Benchmark Silver Standardized Plan - HMO
- Value Benchmark Expanded Bronze Select Copay Plan - HMO
- Value Benchmark Gold Standardized Plan - HMO
- Value Benchmark Platinum - HMO
- Value Benchmark Platinum Standardized Plan - HMO
- Value Benchmark Silver 5900 Medical Deductible - HMO
- Value Benchmark Silver Standardized Plan - HMO
- Value Expanded Bronze 6900 Medical Deductible - HMO
- Value Gold 1500 Medical Deductible - HMO
- Healthy Premier Bronze HSA - EPO
- Healthy Premier Expanded Bronze Standard - EPO
- Healthy Premier Gold Copay - EPO
- Healthy Premier Gold Standard - EPO
- Healthy Premier Silver Copay - EPO
- Healthy Premier Silver Standard - EPO
- U Health Plus Bronze - EPO
- U Health Plus Expanded Bronze Standard - EPO
- U Health Plus Gold - EPO
- U Health Plus Gold Standard - EPO
- U Health Plus Silver - EPO
- U Health Plus Silver Standard - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Staci Brandenburg is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for STACI JANAE BRANDENBURG PA-C
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 8 | 7 | 2 | 7 | 9 | 6 | 2 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 16 | 7 | 4 | 7 | 18 | 6 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 6 + 7 + 4 + 7 + 1 + 8 + 6 + 4 + 24 = 74 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 74 = 6 | 6 | ||||||||
The NPI number 1487279626 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1376159368 | GRANGER MEDICAL SPECIALISTS LLC Organization | Clinic/Center | 2965 W 3500 S WEST VALLEY CITY, UT 84119 (801) 965-3600 |
| 1912311192 | DR. KAMUN CHAN D.O. Individual | Emergency Medicine | 2965 W 3500 S WEST VALLEY CITY, UT 84119 (801) 965-3600 |
| 1962994962 | DR. TYLER THOMAS WOOD DO Individual | Internal Medicine | 2965 W 3500 S WEST VALLEY CITY, UT 84119 (801) 965-3600 |
| 1346875184 | SHANNON MARIE TUTTLE GADD PHARMD Individual | Pharmacist (Ambulatory Care) | 2965 W 3500 S WEST VALLEY CITY, UT 84119 (801) 576-2025 |
| 1912270497 | MRS. VALERIE K OQUENDO PA-C Individual | Physician Assistant | 2965 W 3500 S WEST VALLEY CITY, UT 84119 (801) 965-3600 |
| 1457795650 | MRS. WENDY HAUPT MS, RD, CDE Individual | Dietitian, Registered | 2965 W 3500 S WEST VALLEY CITY, UT 84119 (801) 965-3600 |
| 1124742838 | JULIEANNE RIGBY COX FNP-C Individual | Nurse Practitioner (Family) | 2965 W 3500 S WEST VALLEY, UT 84119 (801) 965-3600 |
| 1982284873 | EMILY ANNE LEWIS FNP-C Individual | Nurse Practitioner (Family) | 2965 W 3500 S WEST VALLEY CITY, UT 84119 (801) 965-3600 |
| 1396720058 | STEVE ALAN OLIVER MD Individual | Family Medicine | 2965 W 3500 S WEST VALLEY CITY, UT 84119 (801) 965-3600 |
| 1720730666 | MR. MARSHALL REX GIBSON PA-C Individual | Physician Assistant | 2965 W 3500 S WEST VALLEY CITY, UT 84119 (801) 965-3600 |
| 1134159288 | JAMES RUSSELL GRUA M.D. Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 2965 W 3500 S WEST VALLEY CITY, UT 84119 (801) 965-3600 |
| 1245780808 | ERIN LEIGH BATIN NP-C Individual | Nurse Practitioner | 2965 W 3500 S WEST VALLEY CITY, UT 84119 (801) 965-3600 |
| 1639460470 | ALISON OAKES M.D. Individual | Internal Medicine (Gastroenterology) | 2965 W 3500 S WEST VALLEY CITY, UT 84119 (801) 965-3600 |
| 1801583133 | JADE IVETT MARROQUIN Individual | Pharmacy Technician | 2965 W 3500 S WEST VALLEY CITY, UT 84119 (801) 907-4750 |
| 1184945024 | CURTIS GAPINSKI D.O. Individual | Family Medicine | 2965 W 3500 S WEST VALLEY CITY, UT 84119 (801) 965-3600 |
| 1700842804 | DR. KENNON CHRISTOPHER TUBBS MD Individual | Family Medicine | 2965 W 3500 S WEST VALLEY CITY, UT 84119 (801) 965-3600 |
| 1952859852 | CONNOR ENGLAND PA-C Individual | Physician Assistant | 2965 W 3500 S WEST VALLEY CITY, UT 84119 (801) 965-3600 |
| 1649460163 | DR. RYAN W LEONARD DO Individual | Otolaryngology | 2965 W 3500 S WEST VALLEY CITY, UT 84119 (801) 965-3600 |
| 1851813299 | WAYNE BERG FNP Individual | Nurse Practitioner | 2965 W 3500 S WEST VALLEY CITY, UT 84119 (801) 965-3600 |
| 1487331260 | GRANGER MEDICAL CLINIC, PC Organization | Clinic/Center (Multi-Specialty) | 2965 W 3500 S WEST VALLEY CITY, UT 84119 (801) 965-3600 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1487279626, enumerated in the NPI registry as an "individual" on June 13, 2020
The provider is located at 2965 W 3500 S West Valley City, Ut 84119 and the phone number is (801) 965-3419
The provider's speciality is Physician Assistant with taxonomy code 363AM0700X with a focus in Medical
The provider might be accepting Accepts: Molina Healthcare, Select Health and University of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on June 13, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.