Jill Glazier Blasdell
Individual provider Active NPI Family Nurse Practitioner · Kanab, UT
NPI 1295465417 · NPPES record last updated Aug 22, 2025
Key facts
- NPI
- 1295465417
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 7742638-8900 (UT)
- Practice address
- 329 S 350 E Ste 4
Kanab, UT 84741-3768 - Phone
- (435) 644-5626
- NPI assigned
- Jun 11, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mesquite Clinic Management Company LLC
Practice addresses (Care Compare)
1925 Whipple Ave
Logandale, NV 89021-9934
Phone (702) 398-3621
329 S 350
Suite 4
Kanab, UT 84741-3768
Phone (435) 644-5626
329 S 350 E
Suite 4
Kanab, UT 84741-3768
Hospital & facility affiliations
- Kane County Hospital
- St. George Regional Hospital
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 |
|---|---|---|---|---|
| I20250907000222 | UT | Practitioner - Nurse Practitioner | 7214308063 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 856084 | NV | MD | Family Nurse Practitioner |
| 7742638-8900 | UT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kanab Healthcare LLC | Family | Current |
Accepting new patients |
Locations
329 S 350 E
Ste 4
Kanab, UT 84741
Phone (435) 644-5626
Interoperability endpoints
- jill.blasdell.1@33968.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 7742638-8900 | UT | Yes |
| Family Nurse Practitioner | 363LF0000X | 856084 | NV |
Addresses
Primary practice location
329 S 350 E Ste 4
Kanab, UT 84741-3768
Mailing address
329 S 350 E Ste 4
Kanab, UT 84741-3768
Phone (435) 644-5626
Other providers in Kanab, UT
- Lance O. Allen
- Alpine Home Medical Equipment LLC
- Amv Mountain Land LC
- Karl John Armstrong
- Morgan Barton
- Elaine Bowman
- Jonathan Craig Bowman
- Greg Burnham
- Stephen J Burst
- Care Age Management
All providers in Kanab, 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 Aug 22, 2025. 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.