JESS ANDERSON (FNP) – Family Nurse Practitioner, NPI 1922417831

JESS ANDERSON (FNP) is a healthcare provider. based in Magna, Utah. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 4985757-4405 (UT). The NPI Number for JESS ANDERSON (FNP) is 1922417831

Main info

Male
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
JESS ANDERSON (FNP)
NPI
1922417831
Phone
(801) 250-9638
Address
3665 S 8400 W
Enumeration Date
5 August 2014
Last Update Date
16 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8012132995
Graduation Year
2014 (12 years ago)
PAC ID
6103043021
Group Practice PAC ID
0941525273
Professional Enrollment ID
I20140815001725
Address ID
UT841320100SA50XXXDRXX400
Telehealth
Yes

Contacts

Secure Messaging
janderson68224@direct.med.utah.edu
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:11State licenses:1Other namesUpdated within 12 months

2,657 NURSE PRACTITIONER in UT

Provider Addresses for JESS ANDERSON (FNP)

  • 3665 S 8400 W

    MAGNA, UT 840444907

    Phone: (801) 250-9638

    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 1 Open Payments records for all available years, with a total value of $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2023-05-25 • Largest payer in this snapshot: Abbott Laboratories ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-25

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Abbott Laboratories$20
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: 2014-08-15

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
I20140815001725INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99215Established patient office or other outpatient visit, 40-54 minutes162136$0
G2212Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or3831$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2515$0
View full utilization report →

Insurance plans in this area (ZIP 84044)

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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: 0941525273View full group profile
NameSpecialtyState
-UT
-UT
Emergency MedicineCO
-UT
A N E S T H E S I O L O G YUT
Physician AssistantUT
-IL
Plastic And Reconstructive SurgeryOH
Physician AssistantCA
A N E S T H E S I O L O G YUT

Reviews

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Frequently asked questions

Does JESS ANDERSON (FNP) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JESS ANDERSON (FNP) uses 1922417831.
Does CMS list JESS ANDERSON (FNP) as active?
Yes — JESS ANDERSON (FNP) is active in the NPI listing used on this page.
What healthcare role does JESS ANDERSON (FNP) hold?
Scheduling teams often label JESS ANDERSON (FNP) under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect JESS ANDERSON (FNP) on a map?
Expect Magna, Utah as a primary anchor for JESS ANDERSON (FNP) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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