Individual provider Active NPI

Jason McCord Pitts

  • Family Nurse Practitioner
  • Salt Lake City, UT
National Provider Identifier
1033051156
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
290357 Issued in MT
Practice address
4001 S 700 E Ste 700
Salt Lake City, UT 84107-2533
Phone
(801) 274-3280
NPI assigned
Apr 7, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 290357 MT Primary

Addresses

Primary practice location

4001 S 700 E Ste 700
Salt Lake City, UT 84107-2533

Mailing address

4001 S 700 E Ste 700
Salt Lake City, UT 84107-2533

Other practice location 1

640 Park Ave
Shelby, MT 59474-1663
Phone (406) 434-3200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address krmcmedicalrecords@krhdirect.org Direct Logan Health - Shelby

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

310 Sunnyview LN
Kalispell, MT 59901-3199

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1775520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1033051156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 S 700 E STE 700",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841072533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 S 700 E STE 700",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841072533",
            "telephone_number": "801-274-3280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "640 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Shelby",
            "state": "MT",
            "postal_code": "594741663",
            "country_code": "US",
            "telephone_number": "406-434-3200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PITTS",
        "first_name": "JASON",
        "middle_name": "MCCORD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-04-07",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "290357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krmcmedicalrecords@krhdirect.org",
            "affiliation": "Y",
            "affiliationName": "Logan Health - Shelby",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "640 Park Ave",
            "city": "Shelby",
            "state": "MT",
            "country_code": "US",
            "postal_code": "594741663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.