MR. JEDEDIAH S BRISCOE (FNP) – Family Nurse Practitioner, NPI 1962650184

MR. JEDEDIAH S BRISCOE (FNP) is a healthcare provider. based in Salt lake city, Utah. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 334170-4408 (UT). The NPI Number for MR. JEDEDIAH S BRISCOE (FNP) is 1962650184

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
MR. JEDEDIAH S BRISCOE (FNP)
NPI
1962650184
Phone
(801) 350-4110
Address
1060 E 100 S
Enumeration Date
29 August 2008
Last Update Date
13 October 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3077890726
Graduation Year
2008 (18 years ago)
PAC ID
5698990513
Group Practice PAC ID
6305260746
Professional Enrollment ID
I20140709003046
Address ID
WY829305109EV475XXRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

2,655 NURSE PRACTITIONER in UT

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Provider Addresses for MR. JEDEDIAH S BRISCOE (FNP)

  • 100 South, Salt Lake City, Salt Lake County, Utah, 84112-0102, United States

    SALT LAKE CITY, UT 841021501

    Phone: (801) 350-4110

    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)

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: 2014-07-09

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
I20140709003046INurse 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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes1,738239$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes1,280106$0
99497Advance care planning, first 30 minutes340275$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes306272$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes12047$0
View full utilization report →

Insurance plans in this area (ZIP 84102)

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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: 6305260746View full group profile
NameSpecialtyState
Family PracticeUT
Nurse PractitionerCO
Physician AssistantNV
Internal Medicine, HospitalistUT
Physician AssistantKS
Family PracticeWY
Physician AssistantWY
Nurse PractitionerUT
P O D I A T R YUT
Nurse PractitionerWY

Reviews

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Frequently asked questions

What NPI should I save for MR. JEDEDIAH S BRISCOE (FNP)?
Save NPI 1962650184 if you need a stable reference for MR. JEDEDIAH S BRISCOE (FNP).
Is MR. JEDEDIAH S BRISCOE (FNP)'s NPI currently valid?
The extract we use shows MR. JEDEDIAH S BRISCOE (FNP) as active.
Can you summarize MR. JEDEDIAH S BRISCOE (FNP)'s specialty in plain language?
Clinically, the directory lists MR. JEDEDIAH S BRISCOE (FNP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place MR. JEDEDIAH S BRISCOE (FNP)?
The snapshot lists Salt Lake City, Utah for MR. JEDEDIAH S BRISCOE (FNP); download NPPES for the complete set.
How can I contact MR. JEDEDIAH S BRISCOE (FNP)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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