JILL STRATFORD WALDRON (APRN, GNP-BC) – Gerontology Nurse Practitioner, NPI 1083852677

JILL STRATFORD WALDRON (APRN, GNP-BC) is a healthcare provider. based in Salt lake city, Utah. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, GNP-BC. They hold a License No. 2794904405 (UT). The NPI Number for JILL STRATFORD WALDRON (APRN, GNP-BC) is 1083852677

Main info

Female
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
JILL STRATFORD WALDRON (APRN, GNP-BC)
NPI
1083852677
Phone
(801) 585-5122
Address
50 NORTH MEDICAL DRIVE
Enumeration Date
4 February 2009
Last Update Date
16 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8012132995
Graduation Year
2004 (22 years ago)
PAC ID
2264578020
Group Practice PAC ID
0941525273
Professional Enrollment ID
I20091007000797
Address ID
UT841320100SA50XXXDRXX400
Telehealth
Yes

Contacts

Secure Messaging
jwaldron2525@direct.med.utah.edu
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:17State licenses:2Other namesUpdated within 12 months

2,655 NURSE PRACTITIONER in UT

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Provider Addresses for JILL STRATFORD WALDRON (APRN, GNP-BC)

  • 50, North Medical Drive, Salt Lake City, Salt Lake County, Utah, 84113, United States

    UNIVERSITY OF UTAH CARDIOLOGY CLINIC #10

    SALT LAKE CITY, UT 84132

    Phone: (801) 585-5122

    Fax: (801) 585-2319

    Type: Location

  • 1900 East, Salt Lake City, Salt Lake County, Utah, 84132, United States

    ROOM 4A100

    SALT LAKE CITY, UT 84132

    Phone: (801) 585-5122

    Fax: (801) 585-2319

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $1,120.

Total Amount is formed as General ($1,120) + Research ($0) + Ownership ($0) = $1,120.

Last reported payment date: 2024-11-08 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($750).

Total Amount

$1,120

General + Research + Ownership

Payments

7

Total payment records

General Amount

$1,120

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-08

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-10-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20091007000797INurse PractitionerUTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99215Established patient office or other outpatient visit, 40-54 minutes221145$0
G2212Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or2318$0
View full utilization report →

Insurance plans in this area (ZIP 84132)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0941525273View full group profile
NameSpecialtyState
-UT
-UT
Emergency MedicineCO
-UT
A N E S T H E S I O L O G YUT
Physician AssistantUT
-IL
Plastic And Reconstructive SurgeryOH
Physician AssistantCA
-NC

Reviews

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Frequently asked questions

Can I use this page to confirm JILL STRATFORD WALDRON (APRN, GNP-BC)'s NPI?
Yes. JILL STRATFORD WALDRON (APRN, GNP-BC) is listed with NPI 1083852677 in the public NPI dataset.
Does the file indicate JILL STRATFORD WALDRON (APRN, GNP-BC) is practicing under active NPI?
Directory data currently reports JILL STRATFORD WALDRON (APRN, GNP-BC) as active.
What is JILL STRATFORD WALDRON (APRN, GNP-BC) best known for clinically?
Directory data describes JILL STRATFORD WALDRON (APRN, GNP-BC) with Gerontology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does JILL STRATFORD WALDRON (APRN, GNP-BC) serve?
JILL STRATFORD WALDRON (APRN, GNP-BC)'s listing highlights Salt Lake City, Utah; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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