JASON JON NAKKEN (D.O.) – Interventional Pain Medicine Physician, NPI 1356755094

JASON JON NAKKEN (D.O.) is a healthcare provider. based in Provo, Utah. specializing in PAIN MANAGEMENT, ANESTHESIOLOGY. They hold the professional credentials D.O.. They hold a License No. BP1-0050303 (TX). The NPI Number for JASON JON NAKKEN (D.O.) is 1356755094

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
JASON JON NAKKEN (D.O.)
NPI
1356755094
Phone
(801) 356-6100
Address
3585 N UNIVERSITY AVE STE 105
Enumeration Date
19 June 2014
Last Update Date
14 August 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8013758064
Graduation Year
2014 (12 years ago)
PAC ID
9638410590
Group Practice PAC ID
0547217366
Professional Enrollment ID
I20190531000971
Address ID
UT846046104PR320XXDRXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:11State licenses:2Digital endpointsOther names

93 PAIN MANAGEMENT in UT

Provider Addresses for JASON JON NAKKEN (D.O.)

  • 3585 N UNIVERSITY AVE STE 105

    PROVO, UT 846046601

    Phone: (801) 356-6100

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $1,021.

Total Amount is formed as General ($1,021) + Research ($0) + Ownership ($0) = $1,021.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: SPR Therapeutics, Inc ($723).

Total Amount

$1,021

General + Research + Ownership

Payments

18

Total payment records

General Amount

$1,021

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2019-05-31

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
I20190531000971IPain ManagementUTTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes5134$0
00142Anesthesia for lens surgery1414$0
01402Anesthesia for procedure for total knee joint replacement1212$0
64447Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)1111$0
View full utilization report →

Insurance plans in this area (ZIP 84604)

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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: 0547217366View full group profile
NameSpecialtyState
-UT
Certified Registered Nurse Anesthetist (Crna)UT
A N E S T H E S I O L O G YUT
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)UT

Reviews

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Frequently asked questions

Can I use this page to confirm JASON JON NAKKEN (D.O.)'s NPI?
Yes. JASON JON NAKKEN (D.O.) is listed with NPI 1356755094 in the public NPI dataset.
Is JASON JON NAKKEN (D.O.) listed as active for patients and plans?
The listing shows JASON JON NAKKEN (D.O.) as active in the NPI system.
What is JASON JON NAKKEN (D.O.)'s specialty?
The listing groups JASON JON NAKKEN (D.O.) with Interventional Pain Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect JASON JON NAKKEN (D.O.) on a map?
Expect Provo, Utah as a primary anchor for JASON JON NAKKEN (D.O.) unless the record lists multiple sites.
Is the information about JASON JON NAKKEN (D.O.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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