Active NPI
Jared W Ollerton, CRNA
- Certified Registered Nurse Anesthetist
- Provo, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 353604-4406
- Practice address
- 320 River Park Dr Ste 125
Provo, UT 84604-5787 - Phone
- (801) 375-8049
- Fax
- (801) 374-9195
- NPI assigned
- Apr 4, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 353604-4406 | UT | Primary |
Addresses
Primary practice location
320 River Park Dr Ste 125
Provo, UT 84604-5787
Mailing address
PO Box 1727
Provo, UT 84603-1727
Phone (801) 375-8049
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, ID
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
750 W 800
Orem, UT 84057-3660
Phone (801) 714-6000
Hospital & facility affiliations
- Timpanogos Regional Hospital
- Mountain View Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 353604-4406 | UT | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NPH Anesthesia of Utah, LLC | Anesthesiology | Current | Accepting new patients |
| Madison Anesthesia Services PA | Anesthesiology | Current | Accepting new patients |
| Mountain View Anesthesia LC | Anesthesiology | Current | Accepting new patients |
| Eastern Utah Surgical Center | Past | Accepting new patients | |
| Eastern Utah Surgical Center | Past | Accepting new patients | |
| Riverwoods Anesthesia PLLC | Anesthesiology | Past | Accepting new patients |
Locations
2290 Coronado St
Idaho Falls, ID 83404
Phone (208) 522-4000
37 S 2nd E
Rexburg, ID 83440
Phone (208) 356-0234
381 E 4th N
Rexburg, ID 83440
Phone (208) 359-2300
450 E Main St
Rexburg, ID 83440
Phone (208) 356-3691
2221 Lakeside Blvd
Ste 600
Richardson, TX 75082
Phone (469) 998-7450
170 N 1100 E
American Fork, UT 84003
Phone (801) 714-6570
750 W 800 N
Orem, UT 84057
Phone (801) 714-6000
331 N 400 W
Orem, UT 84057
Phone (801) 224-4080
1034 N 500 W
Provo, UT 84604
Phone (801) 362-4119
1954 E Fort Union Blvd
Ste 105
Salt Lake Cty, UT 84121
Phone (801) 993-9524
5475 S 500 E
South Ogden, UT 84405
Phone (801) 479-2111
3580 W 90th S
West Jordan, UT 84088
Phone (801) 263-0810
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.
-
- Anesthesiology Physician
- Orem, UT
- NPI 1043249840
-
- Anesthesiology Physician
- Ogden, UT
- NPI 1366077273
-
- Certified Registered Nurse Anesthetist
- Rexburg, ID
- NPI 1558392571
Anesthesiology
-
- Ambulatory Surgical Clinic/Center
- Price, UT
- NPI 1619048170
-
- Specialist
- Price, UT
- NPI 1952597932
-
- Anesthesiology Physician
- Provo, UT
- NPI 1821290883
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Payson, UT
- NPI 1487607669
-
- General Acute Care Hospital
- Orem, UT
- NPI 1497702195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191974400000",
"number": "1265554844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1727",
"city": "PROVO",
"state": "UT",
"postal_code": "846031727",
"telephone_number": "801-375-8049",
"fax_number": "801-374-9195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 RIVER PARK DR STE 125",
"city": "PROVO",
"state": "UT",
"postal_code": "846045787",
"telephone_number": "801-375-8049",
"fax_number": "801-374-9195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLLERTON",
"first_name": "JARED",
"middle_name": "W",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-04",
"last_updated": "2007-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "UT",
"license": "353604-4406",
"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 Oct 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.