Jentry Cora McKell, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Vineyard, UT
NPI 1508460841 · NPPES record last updated Aug 30, 2023
Key facts
- NPI
- 1508460841
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 7684329-4405 (UT)
- Practice address
- 691 E 400 N Ste 110
Vineyard, UT 84059-7509 - Phone
- (385) 203-0246
- Fax
- (385) 203-0245
- NPI assigned
- Nov 27, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hobble Creek Behavioral Health
Beecon Recovery Inc
Practice addresses (Care Compare)
51 E 800
Spanish Fork, UT 84660-1210
Phone (435) 314-9623
60 S Main St
Suite B0001
Brigham City, UT 84302-6795
Phone (435) 239-8768
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.97 of 100
- Quality
- 68.31
- Promoting interoperability
- 86
- Improvement activities
- 40
- Cost
- 73.25
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 |
|---|---|---|---|---|
| I20220523000512 | UT | Practitioner - Nurse Practitioner | 2668859117 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7684329-4405 | UT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hobble Creek Behavioral Health | Current |
Accepting new patients | |
| Beecon Recovery Inc | Current |
Accepting new patients | |
| Canyon Creek Health and Wellness | Current |
Accepting new patients | |
| Beecon Recovery Heber | Past |
Accepting new patients |
Locations
60 S Main St
Ste B0001
Brigham City, UT 84302
Phone (435) 239-8768
51 E 800 N
Spanish Fork, UT 84660
Phone (435) 314-9623
691 E 400 N
Ste 110
Vineyard, UT 84059
Phone (385) 203-0246
Interoperability endpoints
- jentrymckell@ssapcsl-ut.direct.office.nextgen.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 7684329-4405 | UT | Yes |
Addresses
Primary practice location
691 E 400 N Ste 110
Vineyard, UT 84059-7509
Mailing address
1664 S Dixie Dr Ste E102
St George, UT 84770-7329
Phone (435) 703-9647
Other practice location 1
691 E 400 N Ste 110
Vineyard, UT 84059-7509
Phone (435) 703-9647
Other names
- Jentry Cora Lee
Other providers in Vineyard, UT
- Sadie Lynn Lemmon
- Curtis Lura
- Cami Copier Martin
- Elizabeth Ann McCall
- John Douglas McCarter
- Courtney Merrill
- Stacy Lynn Minch
- Landan D Morgan
- Donna Joanne Mortensen
- Joseph Mosley
All providers in Vineyard, 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 30, 2023. 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.