JONATHAN BOATWRIGHT – Psychiatric/Mental Health Nurse Practitioner, NPI 1649832775

JONATHAN BOATWRIGHT is a healthcare provider. based in Herriman, Utah. specializing in NURSE PRACTITIONER. They hold a License No. 5079309-4405 (UT). The NPI Number for JONATHAN BOATWRIGHT is 1649832775

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
JONATHAN BOATWRIGHT
NPI
1649832775
Phone
(801) 446-2760
Address
13352 S 5600 W
Enumeration Date
28 June 2019
Last Update Date
10 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8012243014
Graduation Year
2019 (7 years ago)
PAC ID
9234465998
Group Practice PAC ID
7214029743
Professional Enrollment ID
I20190801003317
Address ID
UT840436937LE2135XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

2,655 NURSE PRACTITIONER in UT

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Provider Addresses for JONATHAN BOATWRIGHT

  • 13352, South Rosecrest Road, Herriman, Salt Lake County, Utah, 84096, United States

    HERRIMAN, UT 840966789

    Phone: (801) 446-2760

    Type: Location

  • 2135 W MAIN ST STE B207

    LEHI, UT 840436937

    Phone: (801) 224-3014

    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 $80.

Total Amount is formed as General ($80) + Research ($0) + Ownership ($0) = $80.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Neurocrine BioSciences Inc. ($29).

Total Amount

$80

General + Research + Ownership

Payments

3

Total payment records

General Amount

$80

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

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: 2019-08-01

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
I20190801003317INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84096)

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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: 7214029743View full group profile
NameSpecialtyState
Nurse PractitionerUT
Nurse PractitionerUT
-UT
Nurse PractitionerUT
Nurse PractitionerUT
Nurse PractitionerUT
Nurse PractitionerUT
Nurse PractitionerUT

Reviews

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Frequently asked questions

What unique ID ties claims to JONATHAN BOATWRIGHT?
NPI 1649832775 is assigned to JONATHAN BOATWRIGHT under the national enumeration system.
Is JONATHAN BOATWRIGHT currently active in the NPI registry?
CMS-published data lists JONATHAN BOATWRIGHT as an active registrant.
What kind of provider is JONATHAN BOATWRIGHT?
The page reflects Psychiatric/Mental Health Nurse Practitioner for JONATHAN BOATWRIGHT. Clinical services aligned with this taxonomy classification.
Does JONATHAN BOATWRIGHT practice in Utah?
You will see Herriman, Utah on file for JONATHAN BOATWRIGHT alongside any extra practice locations.
Is JONATHAN BOATWRIGHT a real provider?
This page reflects official NPPES data for NPI 1649832775. Always confirm identity and privileges with the practice and licensing boards.

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