Individual provider Active NPI

Jocelyn Anne Montierth, MSN, APRN, AGPCNP-BC

  • Primary Care Nurse Practitioner
  • Kaysville, UT
National Provider Identifier
1003409756
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
8054881-4405 Issued in UT
Practice address
375 N Main St Ste 103
Kaysville, UT 84037-1272
Phone
(801) 216-4130
NPI assigned
Feb 13, 2021
Last updated
Dec 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 8054881-4405 UT Primary
Registered Nurse 163W00000X 8054881-3102 UT

Addresses

Primary practice location

375 N Main St Ste 103
Kaysville, UT 84037-1272

Mailing address

375 N Main St Ste 103
Kaysville, UT 84037-1272
Phone (801) 216-4130

Other practice location 1

508 E Ridge Dr
Alpine, UT 84004-2663
Phone (801) 674-7847

Other names 1

  • Jocelyn Clark Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210416000837 UT Practitioner - Nurse Practitioner 8426466277 Reassigns benefits to 3 organizations
I20250811003393 CA Practitioner - Nurse Practitioner 8426466277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Impact Medical Associates CaliforniaGroup PAC ID 3274902267, 5 clinicians
Gary F Holland MD PCGroup PAC ID 2668466350, 9 clinicians

Practice addresses (Care Compare)

11838 Bernardo Plaza CT
Suite 260a
San Diego, CA 92128-2413
Phone (619) 872-5288

375 N Main St
Suite 103
Kaysville, UT 84037-1272
Phone (801) 876-3749

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.89 of 100Reported as group
Quality
100
Improvement activities
40
Cost
66.29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
8054881-3102UTMDRegistered Nurse
8054881-4405UTMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Togo Acute and Post Acute Care CurrentSince Aug 22, 2023 Accepting new patients
Gary F Holland MD PC CurrentSince Apr 7, 2021 Accepting new patients
Impact Medical Associates California CurrentSince Jul 8, 2025 Accepting new patients
Togo Healthcare LLC CurrentSince Jul 1, 2024 Accepting new patients
Owen Healthcare, LLC PastSince Jan 19, 2025 Accepting new patients
Grabmd, LLC PastSince Oct 1, 2020 Accepting new patients

Locations

5355 Avenida Encinas
Ste 103
Carlsbad, CA 92008
Phone (858) 487-8778

333 Hegenberger Rd
Ste 710
Oakland, CA 94621
Phone (858) 487-8778

11838 Bernardo Plaza Ct
San Diego, CA 92128
Phone (570) 762-6152

11838 Bernardo Plaza Ct
Ste 260A
San Diego, CA 92128
Phone (619) 872-5288

14572 S 790 W
Ste B201201B
Bluffdale, UT 84065

375 N Main St
Ste 103
Kaysville, UT 84037
Phone (801) 216-4130

406 W South Jordan Pkwy
Ste 450
South Jordan, UT 84095
Phone (801) 561-8398

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1613174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1003409756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 N MAIN ST STE 103",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840371272",
            "telephone_number": "801-216-4130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 N MAIN ST STE 103",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840371272",
            "telephone_number": "801-216-4130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "508 E Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Alpine",
            "state": "UT",
            "postal_code": "840042663",
            "country_code": "US",
            "telephone_number": "801-674-7847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTIERTH",
        "first_name": "JOCELYN",
        "middle_name": "ANNE",
        "credential": "MSN, APRN, AGPCNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-13",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "UT",
            "license": "8054881-4405",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "UT",
            "license": "8054881-3102",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOCELYN",
            "last_name": "CLARK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kaysville, UT

Sources for this page

Verify at the official NPI Registry.