Active NPI
Amy Jackson Gilbert
- Family Nurse Practitioner
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F06190370
- Practice address
- 1950 Circle of Hope Dr RM 4146
Salt Lake City, UT 84112-5500 - Phone
- (801) 232-7443
- NPI assigned
- Jun 6, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F06190370 | UT | Primary |
Addresses
Primary practice location
1950 Circle of Hope Dr RM 4146
Salt Lake City, UT 84112-5500
Mailing address
953 Wind River Way
Kaysville, UT 84037-3740
Phone (801) 450-6618
Other names 1
- Amy Gilbert
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | agilbert259496@direct.med.utah.edu | Direct | UNIVERSITY OF UTAH |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
451 E Bishop Federal LN
Salt Lake City, UT 84115-2357
Phone (888) 408-7008
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.89 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 66.29
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F06190370 | UT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Utah Adult Services | Current | Accepting new patients | |
| Santibanez Pac Utah | Current | Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients | |
| Post Acute Medical PLLC | Current | Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients |
Locations
400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297
1992 S Columbia Ln
Orem, UT 84097
Phone (801) 724-6500
127 S 500 E
Ste 400B
Salt Lake City, UT 84102
Phone (801) 587-6478
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
1950 Circle of Hope Dr
Slc, UT 84112
Phone (801) 585-0100
451 E Bishop Federal Ln
South Salt Lake, UT 84115
Phone (801) 487-7557
Interoperability endpoints
- agilbert259496@direct.med.utah.edu
Organizations & group practices 5
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.
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UT
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- General Practice Physician
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- NPI 1114321981
-
dba U of U Medical Genetics
- Clinical Genetics (M.D.) Physician
- Salt Lake City, UT
- NPI 1508222167
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dba University of Utah Hospital Radiology Department
- Diagnostic Radiology Physician
- Salt Lake City, UT
- NPI 1598169419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635724800000",
"number": "1144889940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "953 WIND RIVER WAY",
"city": "KAYSVILLE",
"state": "UT",
"postal_code": "840373740",
"telephone_number": "801-450-6618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1950 CIRCLE OF HOPE DR RM 4146",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841125500",
"telephone_number": "801-232-7443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILBERT",
"first_name": "AMY",
"middle_name": "JACKSON",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-06",
"last_updated": "2021-11-01",
"certification_date": "2021-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "UT",
"license": "F06190370",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "agilbert259496@direct.med.utah.edu",
"affiliation": "Y",
"affiliationName": "UNIVERSITY OF UTAH",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "50 N Medical Dr",
"city": "Salt Lake City",
"state": "UT",
"country_code": "US",
"postal_code": "841320001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "AMY",
"last_name": "GILBERT",
"credential": "LPN, RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; 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.