JASMINE BURSON JENKINS (FNP-C) – Nurse Practitioner, NPI 1144870866
Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
2,655 NURSE PRACTITIONER in UT
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Provider Addresses for JASMINE BURSON JENKINS (FNP-C)
Revere Health, 1055, North 500 West, North Park, Provo, Utah County, Utah, 84604, United States
ATTN. CREDENTIALING
PROVO, UT 84604
Phone: (801) 354-8225
Fax: (801) 418-0941
Type: Mailing
Revere Health Urgent Care, 972, North 600 East, Spanish Fork, Utah County, Utah, 84660, United States
SPANISH FORK, UT 846601306
Phone: (801) 465-4896
Fax: (801) 465-3267
Type: Location
PO BOX 173260
BOZEMAN, MT 597173260
Phone: (406) 994-2311
Type: Mailing
7TH ST. & GRANT
100 SWINGLE BUILDING
BOZEMAN, MT 59717
Phone: (406) 994-2311
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $50.
Total Amount is formed as General ($50) + Research ($0) + Ownership ($0) = $50.
Last reported payment date: 2023-12-07 • Largest payer in this snapshot: ABBVIE INC. ($50).
Total Amount
$50
General + Research + Ownership
Payments
3
Total payment records
General Amount
$50
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $50 |
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: 2024-02-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240220000427 | I | Nurse Practitioner | MT | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84604)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MT | |
| Physician Assistant | MT | |
| Certified Registered Nurse Anesthetist (Crna) | MT | |
| - | MI | |
| Hospitalist, Internal Medicine | WA | |
| Psychiatry, Family Practice | MT | |
| Certified Registered Nurse Anesthetist (Crna) | MT | |
| - | KS | |
| Orthopedic Surgery | CA | |
| Certified Registered Nurse Anesthetist (Crna) | VA |
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