Individual provider Active NPI

Jared Hawkins

  • Family Nurse Practitioner
  • Provo, UT
National Provider Identifier
1174095855
Registry record updated Mar 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8067363-4405 Issued in UT
Practice address
1034 N 500 W # 84604
Provo, UT 84604-3380
Phone
(801) 357-7850
NPI assigned
Dec 19, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2020

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 8067363-4405 UT Primary

Addresses

Primary practice location

1034 N 500 W # 84604
Provo, UT 84604-3380

Mailing address

1034 N 500 W # 84604
Provo, UT 84604-3380
Phone (801) 357-7850

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200406001387 UT Practitioner - Nurse Practitioner 7618206574 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Grab Healthcare LLCGroup PAC ID 8123439148, 12 clinicians
Timpanogos Family Medicine LLCGroup PAC ID 7416904669, 2 clinicians

Practice addresses (Care Compare)

406 W S Jordan Pkwy
Suite 450
South Jordan, UT 84095-3946
Phone (801) 919-3008

423 N Orem Blvd
Orem, UT 84057-8813
Phone (801) 426-8141

Merit-based Incentive Payment System (MIPS)

Final score
99.89 of 100Reported as group
Quality
100
Improvement activities
40
Cost
66.29

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Grab Healthcare, LLC Family Medicine CurrentSince Jul 10, 2023 Accepting new patients
Utah Regional Hospitalists LLC CurrentSince Mar 19, 2020 Accepting new patients
Timpanogos Family Medicine, LLC CurrentSince Mar 15, 2022 Accepting new patients
Togo Acute and Post Acute Care Family Medicine CurrentSince Nov 1, 2022 Accepting new patients
Utah Regional Hospitalists LLC CurrentSince Mar 19, 2020 Accepting new patients

Locations

740 N 300 E
Orem, UT 84057
Phone (801) 224-0421

1472 E 820 N
Orem, UT 84097
Phone (801) 226-1227

423 N Orem Blvd
Orem, UT 84057
Phone (801) 225-2555

406 W South Jordan Pkwy
Ste 450
South Jordan, UT 84095
Phone (801) 561-8398

3460 S Pioneer Pkwy
West Valley City, UT 84120
Phone (801) 964-3111

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.

NPI Registry JSON

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

{
    "created_epoch": "1545177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1174095855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 N 500 W # 84604",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043380",
            "telephone_number": "801-357-7850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 N 500 W # 84604",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043380",
            "telephone_number": "801-357-7850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "JARED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-19",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "8067363-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

Verify at the official NPI Registry.