JARED W OLLERTON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1265554844

JARED W OLLERTON (CRNA) is a healthcare provider. based in Provo, Utah. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 353604-4406 (UT). The NPI Number for JARED W OLLERTON (CRNA) is 1265554844

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
JARED W OLLERTON (CRNA)
NPI
1265554844
Phone
(801) 375-8049
Address
PO BOX 1727
Enumeration Date
4 April 2007
Last Update Date
10 October 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8017146000
Graduation Year
2002 (24 years ago)
PAC ID
8921044710
Group Practice PAC ID
5991604829
Professional Enrollment ID
I20050701000311
Address ID
UT840573660OR750XX800X300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

265 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in UT

Provider Addresses for JARED W OLLERTON (CRNA)

  • PO BOX 1727

    PROVO, UT 846031727

    Phone: (801) 375-8049

    Fax: (801) 374-9195

    Type: Mailing

  • 320 RIVER PARK DR STE 125

    PROVO, UT 846045787

    Phone: (801) 375-8049

    Fax: (801) 374-9195

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2007-10-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20050701000311ICertified Registered Nurse Anesthetist (Crna)UTTBD
I20071009000392ICertified Registered Nurse Anesthetist (Crna)IDTBD

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
00812Anesthesia for exam of colon using an endoscope1818$0
View full utilization report →

Insurance plans in this area (ZIP 84603)

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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: 5991604829View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)ID
-UT
Certified Registered Nurse Anesthetist (Crna)UT
A N E S T H E S I O L O G YUT
-UT
-UT
Certified Registered Nurse Anesthetist (Crna)UT
Certified Registered Nurse Anesthetist (Crna)UT
-UT
Certified Registered Nurse Anesthetist (Crna)NE

Reviews

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Frequently asked questions

Is there an official ID for JARED W OLLERTON (CRNA) in U.S. healthcare records?
The official identifier for JARED W OLLERTON (CRNA) is NPI 1265554844.
Is JARED W OLLERTON (CRNA) still an active registrant?
JARED W OLLERTON (CRNA) carries an active NPI according to the public dataset.
What clinical focus is listed for JARED W OLLERTON (CRNA)?
At a glance, JARED W OLLERTON (CRNA) is tied to Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is JARED W OLLERTON (CRNA) located near Provo?
JARED W OLLERTON (CRNA) currently maps to Provo, Utah in this extract.
When was this NPI issued?
Enumeration for JARED W OLLERTON (CRNA) is noted as April 4, 2007 where the registry provides it.

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