Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Andrea Marie Bartholomew

Individual provider Administrator Registered Nurse · NPI 1609572221

Mrs. Andrea Marie Bartholomew is a Nurse Practitioner in Ogden, Utah. Qualified in 2023, 3 years ago. Practices with Mountainstar Medical Group-Ogden Regional Medical Center LLC, a 7-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
3
Licensed in
UT
In the registry since
2023
Specialties on file
3

Practice location Address checks out

5405 S 500 E Ste 100
Ogden, UT 84405-6957
Phone: (801) 475-7966
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5899567-4405 (UT)
Administrator Registered Nurse Taxonomy 163WA2000X · Licence 5899567-3102 (UT)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 5899567-4405 (UT)

Record details

NPI number1609572221
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 6, 2023
Last updated in NPPESAugust 10, 2023
Certification dateAugust 10, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Mountainstar Medical Group-Ogden Regional Medical Center Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services