Individual provider Active NPI

Jason Jon Nakken, D.O.

  • Interventional Pain Medicine Physician
  • Provo, UT
National Provider Identifier
1356755094
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
11085893-1204 Issued in UT
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190531000971 UT Practitioner - Pain ManagementPractitioner - Anesthesiology 9638410590 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain West Anesthesia LLCGroup PAC ID 9032018502, 267 clinicians
Riverwoods Anesthesia PLLCGroup PAC ID 0547217366, 6 clinicians
Riverwood Spine and Pain LLCGroup PAC ID 1153786355, 3 clinicians

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

LicenseStateTypeSpecialty
BP1-0050303TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain West Anesthesia LLC Anesthesiology CurrentSince Oct 24, 2025 Accepting new patients
Riverwoods Anesthesia PLLC Anesthesiology CurrentSince Feb 1, 2021 Accepting new patients
Riverwood Spine & Pain, LLC CurrentSince Jan 1, 2023 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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

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

Verify at the official NPI Registry.