Individual provider Active NPI

Aaron Ezekiel Wilkerson, FNP-C

  • Family Nurse Practitioner
  • American Fork, UT
National Provider Identifier
1003671272
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10469779-4405 Issued in UT
Practice address
60 N 1100 E
American Fork, UT 84003-2952
Phone
(801) 747-2800
NPI assigned
Feb 16, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 10469779-8900 UT
Family Nurse Practitioner 363LF0000X 10469779-4405 UT Primary

Addresses

Primary practice location

60 N 1100 E
American Fork, UT 84003-2952

Mailing address

1055 N 500 W
Attn Credentialing
Provo, UT 84604
Phone (801) 354-8225

Other practice location 1

7777 S Redwood Rd
West Jordan, UT 84084-5518
Phone (801) 966-1118

Other practice location 2

12475 S Doreen Dr
Riverton, UT 84065-4360
Phone (801) 793-3208

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240509001477 UT Practitioner - Nurse Practitioner 8426499328 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Revere Health PC 407 clinicians

Practice addresses (Care Compare)

1055 N 500
Provo, UT 84604-3305
Phone (801) 429-8000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
10469779-4405UTMDFamily Nurse Practitioner
10469779-8900UTMDFamily Nurse Practitioner

Practice roles (5 of 11)

OrganizationSpecialtyStatusNew patients
Revere Health PC CurrentSince Jul 21, 2025 Accepting new patients
Revere Health PC CurrentSince Jul 21, 2025 Accepting new patients
Utah Endocrinology Associates PLLC CurrentSince May 12, 2024 Accepting new patients
Tanner Memorial Clinic Past Accepting new patients
Aleracare of Utah Inc PastSince May 7, 2024 Accepting new patients

Locations

60 N 1100 E
American Fork, UT 84003
Phone (801) 747-2800

1175 E 50 S
Ste 161
American Fork, UT 84003
Phone (801) 377-4623

1055 N 500 W
Ste 121
Provo, UT 84604
Phone (801) 373-3750

1055 N 500 W
Provo, UT 84604
Phone (801) 429-8000

1055 N 500 W
Ste 222
Provo, UT 84604
Phone (801) 356-8907

1055 N 500 W
Ste 201
Provo, UT 84604
Phone (801) 375-6565

1055 N 500 W
Bldg A
Provo, UT 84604
Phone (801) 418-0800

470 E 3900 S
Ste 200
Salt Lake Cty, UT 84107
Phone (801) 747-2800

Networks

  • Healthfirst Medicare Network H1722
  • UT PPO
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • UT PPO D-SNP
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: aaronwilkerson@cuccu.allscriptsdirect.net

Organizations & group practices 9

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

NPI Registry JSON

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

{
    "created_epoch": "1708041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1003671272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 N 500 W",
            "address_2": "ATTN CREDENTIALING",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "84604",
            "telephone_number": "801-354-8225",
            "fax_number": "801-418-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 N 1100 E",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032952",
            "telephone_number": "801-747-2800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7777 S Redwood Rd",
            "address_purpose": "LOCATION",
            "city": "West Jordan",
            "state": "UT",
            "postal_code": "840845518",
            "country_code": "US",
            "telephone_number": "801-966-1118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12475 S Doreen Dr",
            "address_purpose": "LOCATION",
            "city": "Riverton",
            "state": "UT",
            "postal_code": "840654360",
            "country_code": "US",
            "telephone_number": "801-793-3208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILKERSON",
        "first_name": "AARON",
        "middle_name": "EZEKIEL",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-16",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "10469779-8900",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "10469779-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in American Fork, UT

Sources for this page

Verify at the official NPI Registry.