Individual provider Active NPI

Jesica Naranjo, APRN, FNP-C

  • Nurse Practitioner
  • Murray, UT
National Provider Identifier
1144902891
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
10826953-4405 Issued in UT
Practice address
166 E 5900 S Ste B109
Murray, UT 84107-7293
Phone
(801) 706-5506
Fax
(801) 999-4166
NPI assigned
Aug 2, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 10826953-4405 UT Primary

Addresses

Primary practice location

166 E 5900 S Ste B109
Murray, UT 84107-7293

Mailing address

166 E 5900 S Ste B109
Murray, UT 84107-7293
Phone (385) 275-4673

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, FL2 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
I20241209001105 UT Practitioner - Nurse Practitioner 1355877705 Reassigns benefits to 1 organization
I20260604001149 FL Practitioner - Nurse Practitioner 1355877705 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nxpath Pain Management LLCGroup PAC ID 1658866413, 3 clinicians
Nxpath Neurology LLCGroup PAC ID 6800381757, 2 clinicians
Primary Care Solutions and More LLCGroup PAC ID 0244621910, 36 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians
Amazing Medical Associates IncGroup PAC ID 5991606329, 24 clinicians

Practice addresses (Care Compare)

1605 NW Federal Hwy
Stuart, FL 34994-9629
Phone (772) 480-5860

1701 SE Hillmoor Dr
Port Saint Lucie, FL 34952-7552
Phone (772) 480-5860

17470 Brookside Trace CT
Tampa, FL 33647-6201
Phone (813) 443-5042

434 W Ascension Way
Suite 225
Murray, UT 84123-2985
Phone (801) 716-7008

Hospital & facility affiliations

  • St Luke'S Regional Medical Center Hospital, Boise, ID, CCN 130006

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Family Medical Center LLC CurrentSince Aug 6, 2023 Accepting new patients
Amazing Medical Associates, Inc CurrentSince Oct 28, 2024 Accepting new patients

Locations

434 W Ascension Way
Ste 225
Salt Lake City, UT 84123
Phone (801) 716-7008

166 E 5900 S
Ste B109
Salt Lake Cty, UT 84107
Phone (385) 275-4673

Interoperability endpoints

  • Direct secure messaging: jesica.naranjo@hfmcl-ut.direct.office.nextgen.com

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1144902891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 E 5900 S STE B109",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841077293",
            "telephone_number": "385-275-4673",
            "fax_number": "801-999-4166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 E 5900 S STE B109",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841077293",
            "telephone_number": "801-706-5506",
            "fax_number": "801-999-4166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARANJO",
        "first_name": "JESICA",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "10826953-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

Verify at the official NPI Registry.