Active NPI
Caleb R Jackson, FNP
- Family Nurse Practitioner
- Alpine, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 347183-4405
- Practice address
- 375 S Main St
Alpine, UT 84004-2008 - Phone
- (801) 891-5788
- NPI assigned
- Mar 16, 2015
- Last updated
- Jan 8, 2026
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 347183-4405 | UT | Primary |
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
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, 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- 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
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery of the Spine Physician
- Murray, UT
- NPI 1669866240
-
- Physical Therapy Clinic/Center
- South Jordan, UT
- NPI 1710319389
-
- Maternal & Fetal Medicine Physician
- Salt Lake City, UT
- NPI 1457627507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767830400000",
"number": "1275926149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "375 S MAIN ST",
"city": "ALPINE",
"state": "UT",
"postal_code": "840042008",
"telephone_number": "801-891-5788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 S MAIN ST",
"city": "ALPINE",
"state": "UT",
"postal_code": "840042008",
"telephone_number": "801-891-5788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "CALEB",
"middle_name": "R",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-16",
"last_updated": "2026-01-08",
"certification_date": "2026-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "UT",
"license": "347183-4405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alpine, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; 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.