Jane Sparks, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

67918724405 Issued in UT

Practice address

380 West 100 North
Suite a
Monticello, UT 84535-1054

Phone

(435) 587-5054

Fax

(435) 587-3495

NPI assigned

Aug 7, 2014

Last updated

Aug 7, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

San Juan County HospitalGroup PAC ID 4486541851, shared by 5 NPIs, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• San Juan Hospital Hospital, Monticello, UT, CCN 461308

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/d2bc3d5a-3c39-4553-86b1-b3aa0a5429a7/

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.

• San Juan County Hospital

  dba San Juan Clinic

  • Rural Health Clinic/Center
  • Monticello, UT
  • NPI 1659315877

  Family Medicine

  Medicare reassignment NPD
• San Juan County Hospital

  • Critical Access Hospital
  • Monticello, UT
  • NPI 1942251459
  Medicare reassignment NPD
• San Juan County Hospital

  dba Spanish Valley Clinic

  • Rural Health Clinic/Center
  • Spanish Valley, UT
  • NPI 1588978738

  Family Medicine

  NPD
• San Juan County Hospital

  dba San Juan Health

  • Emergency Care Clinic/Center
  • Monticello, UT
  • NPI 1114121100
  NPD (past)
• San Juan County Hospital

  dba Blanding Clinic

  • Rural Health Clinic/Center
  • Blanding, UT
  • NPI 1821045840

  Family Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• San Juan County Hospital

  • Critical Access Hospital
  • Monticello, UT
  • NPI 1942251459
  Care Compare affiliation

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

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407369600000",
    "number": "1285043885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 WEST 100 NORTH",
            "address_2": "SUITE A",
            "city": "MONTICELLO",
            "state": "UT",
            "postal_code": "845351054",
            "telephone_number": "435-587-5054",
            "fax_number": "435-587-3495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 WEST 100 NORTH",
            "address_2": "SUITE A",
            "city": "MONTICELLO",
            "state": "UT",
            "postal_code": "845351054",
            "telephone_number": "435-587-5054",
            "fax_number": "435-587-3495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "JANE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-07",
        "last_updated": "2014-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "67918724405",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "67918728900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• San Juan Dental
• San Juan Pharmacy Monticello Inc. (Main Street Drug & Boutique)
• San Juan Public Health
• Stetler Ladd Shumway, CRNA
• Julee Dawn Slade, RN
• Andrew Stevens, DO
• Taylor G Wright, PC (Innovation Medical Group)
• Utah Navajo Health System, Incorporated (San Juan Family Dental)
• Utah Valley Radiology Assoc
• Jeanne Wigant, MD

• Family Nurse Practitioner in Monticello, UT
• Providers in Monticello, UT by specialty
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; 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.

Verify at the official NPI Registry.