Jesus Alonso Fierro, CPNP-AC
Individual provider Active NPI Nurse Practitioner · Saint George, UT
NPI 1649997487 · NPPES record last updated Mar 9, 2023
Key facts
- NPI
- 1649997487
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 8894789-4405 (UT)
- Practice address
- 1380 E Medical Center Dr
Saint George, UT 84790-2123 - Phone
- (435) 251-1000
- NPI assigned
- Oct 24, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
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 |
|---|---|---|---|---|
| I20230320000950 | UT | Practitioner - Nurse Practitioner | 1759755408 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services, Inc. | Current |
Accepting new patients | |
| Ihc Health Services Inc | Current |
Accepting new patients |
Locations
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Pediatric Nurse Practitioner | 363LP0222X | 8894789-4405 | UT | |
| Nurse Practitioner | 363L00000X | 8894789-4405 | UT | Yes |
Addresses
Primary practice location
1380 E Medical Center Dr
Saint George, UT 84790-2123
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Other providers in Saint George, UT
- Kiaora Fernelius
- Amanda Ferre
- Karina Ferre
- Kelleigh C Fielder
- Elijah Adam Fielding
- Naomi Filoteo
- Cassandra Finch
- Michael Stanley Finch
- Kimberly Fincher
- Skye Findlay
All providers in Saint George, UT · 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 Mar 9, 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.