Active NPI
Jared Hawkins
- Family Nurse Practitioner
- Provo, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 8067363-4405
- 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
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 | 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
Enrollment records 1
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
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 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 66.29
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grab Healthcare, LLC | Family Medicine | Current | Accepting new patients |
| Utah Regional Hospitalists LLC | Current | Accepting new patients | |
| Timpanogos Family Medicine, LLC | Current | Accepting new patients | |
| Togo Acute and Post Acute Care | Family Medicine | Current | Accepting new patients |
| Utah Regional Hospitalists LLC | Current | 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.
-
- Family Medicine Physician
- South Jordan, UT
- NPI 1700499183
-
- Non-Surgical Family Planning Clinic/Center
- Orem, UT
- NPI 1568517894
-
- Internal Medicine Physician
- South Jordan, UT
- NPI 1417667742
Family Medicine
-
- Hospitalist Physician
- Murray, UT
- NPI 1962821223
-
- Hospitalist Physician
- Idaho Falls, ID
- NPI 1740715507
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; 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.