Staci Brandenburg, PA-C
NPI 1487279626 · Medical Physician Assistant · West Valley City, UT
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Staci Brandenburg, PA-C is a Medical Physician Assistant provider in West Valley City, UT (NPI 1487279626).
Provider details
- NPI number
- 1487279626
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 12602904-8906 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 6749 S Sienna Park LnMidvale, UT 84047-5036Phone: (435) 238-0202
Registry dates
- Enumerated
- 2020-06-13
- Last updated
- 2024-10-14
- Certified
- 2024-10-14
Frequently asked questions
- What is Staci Brandenburg's NPI number?
- Staci Brandenburg's National Provider Identifier (NPI) is 1487279626, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Staci Brandenburg's specialty?
- Staci Brandenburg is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Staci Brandenburg located?
- Staci Brandenburg's practice location on file with NPPES is 2965 W 3500 S, West Valley City, UT 84119-3602.
- What is Staci Brandenburg's phone number?
- The practice phone number listed in the NPPES registry for Staci Brandenburg is (801) 965-3419.
- Does Staci Brandenburg accept Medicare?
- Staci Brandenburg is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Staci Brandenburg's NPI active?
- Yes — Staci Brandenburg's NPI (1487279626) is active in the NPPES registry as of the last update on 2024-10-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.