Bernard M. Mutie, APRN
NPI 1396255360ActiveIndividual· Nurse Practitioner, Gerontology· Draper, UT
Nurse Practitioner, Gerontology (APRN) with Santibanez Pac Utah, practicing in Draper, Utah. 302 Medicare patients in 2024, $221,231 paid; nearly all of their 655 Part D prescriptions were generic (91%). Lists Intermountain Health McKay-Dee Hospital as a hospital affiliation.
Overview
| NPI | 1396255360 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN |
| Sole proprietor | No |
| NPI issued | Oct 4, 2017 |
| Last updated in NPPES | Jun 11, 2020 |
| Certified by provider | Jun 11, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Gerontology Primary | 363LG0600X | 79878114405 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (UT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 302 |
|---|---|
| Services billed | 2,544 across 8 procedure codes |
| Paid by Medicare | $221,231 |
Part D prescriptions in 2024
| Prescriptions (claims) | 655 · 673 30-day fills |
|---|---|
| Patients | 140 |
| Total drug cost | $32,730 |
| Generic share | 91% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Santibanez Pac UtahSalt Lake City, UT · 18 clinicians
Hospital affiliation
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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