Caleb R Jackson, FNP
Individual provider Active NPI Family Nurse Practitioner · Alpine, UT
NPI 1275926149 · NPPES record last updated Jan 8, 2026
Key facts
- NPI
- 1275926149
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 347183-4405 (UT)
- Practice address
- 375 S Main St
Alpine, UT 84004-2008 - Phone
- (801) 891-5788
- NPI assigned
- Mar 16, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
-
Michael Steinhaus, M.D.
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2875 Sun Dr
Twin Falls, ID 83301-8966
3 Maryland Farms
Suite 250
Brentwood, TN 37027-5053
5171 S Cottonwood St
Suite 950
Murray, UT 84107-5713
5911 S Fashion Blvd
Suite 200
Murray, UT 84107-7210
901 E 1160
Salem, UT 84653-5547
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150814014420 | UT | Practitioner - Nurse Practitioner | 2466767744 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orr Training & Therapy Services, LLC | Current |
Accepting new patients | |
| Obstetrix Medical Group of Utah, PC | Past |
Accepting new patients |
Locations
1098 W South Jordan Pkwy
Ste 101
South Jordan, UT 84095
Phone (801) 254-5800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 347183-4405 | UT | Yes |
Addresses
Primary practice location
375 S Main St
Alpine, UT 84004-2008
Mailing address
375 S Main St
Alpine, UT 84004-2008
Phone (801) 891-5788
Other providers in Alpine, UT
- Randall William Hayes
- Homeward Bound Clinic
- Homeward Bound, Inc
- Chris Robert Hughes
- Loraine Hunter
- James H Cloyd, PHD, LLC
- Aaron A Jensen
- Brittany Kristen Johansen
- Steven Roy Jones
- Jeff W Kirkpatrick
All providers in Alpine, UT · Family Nurse Practitioner in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.