JACOB EWELL (DNP-FNP-C) – Family Nurse Practitioner, NPI 1245984269
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,655 NURSE PRACTITIONER in UT
Provider Addresses for JACOB EWELL (DNP-FNP-C)
38 W 1500 S
BOUNTIFUL, UT 840105139
Phone: (909) 658-5370
Type: Location
292 S 1470 E STE 200
ST GEORGE, UT 847901764
Phone: (435) 688-0759
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 25 Open Payments records for all available years, with a total value of $484.
Total Amount is formed as General ($484) + Research ($0) + Ownership ($0) = $484.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABBVIE INC. ($86).
Total Amount
$484
General + Research + Ownership
Payments
25
Total payment records
General Amount
$484
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $86 |
| Amgen Inc. | $80 |
| Boston Scientific Corporation | $24 |
| Janssen Pharmaceuticals, Inc | $21 |
| ANI Pharmaceuticals, Inc. | $21 |
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: 2023-05-25
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 |
|---|---|---|---|---|
| I20230525002600 | I | Nurse Practitioner | UT | 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 84010)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NE | |
| Nurse Practitioner | UT | |
| Internal Medicine | UT | |
| Family Practice | KS | |
| Nurse Practitioner | UT | |
| Family Practice | NC |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.