Jason Okerlund, FNP
Individual provider Active NPI Family Nurse Practitioner · Monroe, UT
NPI 1649313677 · NPPES record last updated Nov 27, 2023
Key facts
- NPI
- 1649313677
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 325571-4405 (UT)
- Practice address
- 568 S Main St
Monroe, UT 84754-4400 - Phone
- (435) 527-8866
- Fax
- (435) 527-4436
- NPI assigned
- Feb 15, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Revere Health PC
Practice addresses (Care Compare)
568 S Main St
Monroe, UT 84754-4400
Phone (435) 527-8866
Hospital & facility affiliations
- Gunnison Valley Hospital Home Health
- Zion'S Way Home Health
- Intermountain Health Sevier Valley Hospital
- Gunnison Valley Hospital
- Gunnison Valley 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 |
|---|---|---|---|---|
| I20040817000212 | UT | Practitioner - Nurse Practitioner | 7214900455 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 325571-4405 | UT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gunnison Valley Hospital | Current |
Accepting new patients | |
| Revere Health PC | Current |
Accepting new patients | |
| Revere Health PC | Current |
Accepting new patients | |
| Dolores County Health Association | Past | Accepting new patients | |
| Kimberly E Beck MD PC | Family Medicine | Past |
Accepting new patients |
| Utah Valley Radiology Associates Inc | Past |
Accepting new patients |
Locations
568 S Main St
Monroe, UT 84754
Phone (435) 527-8866
1055 N 500 W
Ste 212
Provo, UT 84604
Phone (801) 374-2362
1055 N 500 W
Provo, UT 84604
Phone (801) 429-8000
Interoperability endpoints
- jasonokerlund@cuccu.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 325571-4405 | UT | Yes |
Addresses
Primary practice location
568 S Main St
Monroe, UT 84754-4400
Mailing address
1055 N 500 W
Attn: Credentialing
Provo, UT 84604-3305
Phone (801) 354-8225
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | medreview@reverehealth.com | Revere Health PC |
Other providers in Monroe, UT
- Dinesha Rene Lowden
- Drake Scott Mason
- Ammon Millet
- Shauna Mills
- Monroe Mountain Chiropractic PLLC
- Steve Rosenzweig
- Donna Marie Sarvela
- South Central Therapies, Inc
- Anthyony Sponaugle
- Janet Stewart
All providers in Monroe, 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 Nov 27, 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.