Individual provider Active NPI

Jannette J Yorgason, CNM

  • Advanced Practice Midwife
  • Salt Lake City, UT
National Provider Identifier
1053418111
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
204401-4402 Issued in UT
Practice address
324 10TH Ave Ste 163
Salt Lake City, UT 84103-2856
Phone
(801) 408-1440
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 204401-4402 UT Primary

Addresses

Primary practice location

324 10TH Ave Ste 163
Salt Lake City, UT 84103-2856

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jannette.yorgason@direct.imail.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT2 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
I20060131000748 UT Practitioner - Certified Nurse Midwife (CNM) 4486668233 Reassigns benefits to 1 organization
I20120125000866 UT Practitioner - Nurse Practitioner 4486668233 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

370 E 9TH Ave
Suite 205
Salt Lake City, UT 84103-3184
Phone (801) 408-6100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
204401-4402UTMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc CurrentSince Jan 10, 2012 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services Inc CurrentSince Apr 1, 2011 Accepting new patients
Ihc Health Services, Inc. CurrentSince Apr 1, 2011 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services Inc Past Accepting new patients

Locations

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

5063 S Cottonwood St
Ste 450
Murray, UT 84107
Phone (801) 408-5155

390 N Main St
N Salt Lake, UT 84010
Phone (801) 294-1000

505 W 400 N
Orem, UT 84057
Phone (801) 357-7525

324 Tenth Ave
Ste 200
Salt Lake City, UT 84103
Phone (801) 355-9951

5063 S Cottonwood St
Ste 400
Salt Lake City, UT 84107
Phone (801) 507-1850

400 C St
Salt Lake Cty, UT 84143
Phone (435) 688-4080

324 Tenth Ave
#163
Salt Lake Cty, UT 84103

324 Tenth Ave
Ste 163
Salt Lake Cty, UT 84103
Phone (801) 321-1440

370 Ninth Ave
Ste 205
Salt Lake Cty, UT 84103
Phone (801) 355-9951

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1053418111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27128",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 10TH AVE STE 163",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841032856",
            "telephone_number": "801-408-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YORGASON",
        "first_name": "JANNETTE",
        "middle_name": "J",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "UT",
            "license": "204401-4402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jannette.yorgason@direct.imail.org",
            "affiliation": "N",
            "address_1": "324 10th Ave Ste 163",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841032856",
            "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.