Active NPI
Jason Jon Nakken, D.O.
- Interventional Pain Medicine Physician
- Provo, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 11085893-1204
- Practice address
- 3585 N University Ave Ste 105
Provo, UT 84604-6601 - Phone
- (801) 356-6100
- NPI assigned
- Jun 19, 2014
- Last updated
- Jun 4, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | BP1-0050303 | TX | |
| Anesthesiology Physician | 207L00000X | 11085893-1204 | UT | |
| Interventional Pain Medicine Physician | 208VP0014X | 11085893-1204 | UT | Primary |
Addresses
Primary practice location
3585 N University Ave Ste 105
Provo, UT 84604-6601
Mailing address
280 S Main St
Bountiful, UT 84010-6236
Phone (801) 505-0821
Other practice location 1
861 N 980 W
Orem, UT 84057-7710
Phone (801) 829-7246
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1034 N 500
Provo, UT 84604-3380
Phone (801) 357-7850
320 River Park Dr
Suite 195
Provo, UT 84604-6104
Phone (801) 375-8064
861 N 980
Orem, UT 84057-7710
Phone (801) 829-7246
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP1-0050303 | TX | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain West Anesthesia LLC | Anesthesiology | Current | Accepting new patients |
| Riverwoods Anesthesia PLLC | Anesthesiology | Current | Accepting new patients |
| Riverwood Spine & Pain, LLC | Current | Accepting new patients |
Locations
3340 N Center St
Ste 800
Lehi, UT 84043
Phone (800) 501-4788
861 N 980 W
Orem, UT 84057
Phone (385) 262-4135
1034 N 500 W
Provo, UT 84604
Phone (801) 362-4119
320 River Park Dr
Ste 195
Provo, UT 84604
Phone (801) 375-8064
150 W Civic Center Dr
Ste 200
Sandy, UT 84070
Phone (801) 727-2056
Interoperability endpoints
- jason.nakken@319.chartlogic.direct-ci.com
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Lehi, UT
- NPI 1558391763
-
- Pain Medicine Physician
- Orem, UT
- NPI 1881395085
-
- Anesthesiology Physician
- Provo, UT
- NPI 1821290883
-
dba Salt Lake Orthopaedic Clinic
- Specialist
- Salt Lake City, UT
- NPI 1811913429
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Intermountain Health Utah Valley Hospital
- General Acute Care Hospital
- Provo, UT
- NPI 1114025491
-
dba Intermountain Health Spanish Fork Hospital
- General Acute Care Hospital
- Spanish Fork, UT
- NPI 1124661384
-
dba Intermountain Health Infusion Center- Spanish Fork, A Service of Utah Valley Hospital
- Infusion Therapy Clinic/Center
- Spanish Fork, UT
- NPI 1679426944
Hospital
-
dba Intermountain Health Infusion Center- American Fork, A Service of Utah Valley Hospital
- Infusion Therapy Clinic/Center
- American Fork, UT
- NPI 1982557252
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780531200000",
"number": "1356755094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 S MAIN ST",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840106236",
"telephone_number": "801-505-0821",
"fax_number": "801-505-0803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3585 N UNIVERSITY AVE STE 105",
"city": "PROVO",
"state": "UT",
"postal_code": "846046601",
"telephone_number": "801-356-6100"
}
],
"practiceLocations": [
{
"address_1": "861 N 980 W",
"address_purpose": "LOCATION",
"city": "Orem",
"state": "UT",
"postal_code": "840577710",
"country_code": "US",
"telephone_number": "801-829-7246",
"fax_number": "801-655-9615",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NAKKEN",
"first_name": "JASON",
"middle_name": "JON",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-19",
"last_updated": "2026-06-04",
"certification_date": "2026-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "BP1-0050303",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "UT",
"license": "11085893-1204",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "UT",
"license": "11085893-1204",
"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 Jun 4, 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.