Peggy Anne Jerome, APRN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

278825-4405 Issued in UT

Practice address

8537 Redwood Rd
Suite a - Main Level
West Jordan, UT 84088-9311

Phone

(801) 568-2898

NPI assigned

Oct 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2000

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Lotus Center IncGroup PAC ID 4284923491, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: thelotuscenterinc.peggyjerome@133578.advancedmd-direct.com

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.

• Lotus Center Inc

  • Community/Behavioral Health Agency
  • Salt Lake City, UT
  • NPI 1992167118
  Medicare reassignment Care Compare group NPD
• Helen L Stanhope Aprn LLC

  • Adult Psychiatric/Mental Health Registered Nurse
  • West Jordan, UT
  • NPI 1447303193
  NPD (past)
• Lotus Center Inc

  • Case Management Agency
  • Salt Lake City, UT
  • NPI 1184415622
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481673600000",
    "number": "1013001247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1077 E CLIFF SIDE CT",
            "address_2": "209",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840940798",
            "telephone_number": "801-563-0708",
            "fax_number": "801-566-5939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8537 REDWOOD RD",
            "address_2": "SUITE A - MAIN LEVEL",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840889311",
            "telephone_number": "801-568-2898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEROME",
        "first_name": "PEGGY",
        "middle_name": "ANNE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2016-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "UT",
            "license": "278825-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Porter Jensen
• Michele Suzanne Jenson
• Natalie L Jenson, LCSW
• Jeremy B Mahoney DMD LLC
• Jeremy Hewitt DNP LLC
• Jillian Jessop, PHARMD
• Yangzi Maggie Jiang, O.D.
• Cynthia Kay Jimenez
• Marisa Kay Jimenez
• Virginia Jimenez, BCBA

• Adult Health Nurse Practitioner in West Jordan, UT
• Providers in West Jordan, UT by specialty
• Adult Health Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.