Individual provider Active NPI

Joslyn Dana Wilson

  • Nurse Practitioner
  • Cedar Hills, UT
National Provider Identifier
1679201826
Registry record updated Aug 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
8486888-4405 Issued in UT
Practice address
9621 N 4500 W
Cedar Hills, UT 84062-9404
Phone
(801) 471-5575
NPI assigned
Aug 14, 2022
Last updated
Aug 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 8486888-4405 UT Primary

Addresses

Primary practice location

9621 N 4500 W
Cedar Hills, UT 84062-9404

Mailing address

9621 N 4500 W
Cedar Hills, UT 84062-9404
Phone (801) 471-5575

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221109001552 UT Practitioner - Nurse Practitioner 0143697805 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Family MedicalGroup PAC ID 7416197785, 84 clinicians

Practice addresses (Care Compare)

275 W 200
Lindon, UT 84042-5009
Phone (801) 796-1333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
8486888-4405UTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Family Medical - City Center Family Medicine CurrentSince Oct 1, 2022 Accepting new patients
Premier Family Medical Family Medicine Current Accepting new patients
Alpine Dermatology PC CurrentSince Jun 5, 2024 Accepting new patients
Premier Family Medical - American Fork Family Medicine CurrentSince Oct 1, 2022 Accepting new patients

Locations

144 S Main St
Ste 100
Alpine, UT 84004
Phone (801) 367-3725

226 N 1100 E
American Fork, UT 84003
Phone (801) 756-6037

3943 E Pony Express Pkwy
Ste 120
Eagle Mountain, UT 84005
Phone (801) 789-5566

573 W Sunrise Way
Unit 102
Lehi, UT 84048
Phone (801) 642-2990

680 E Main St
Lehi, UT 84043
Phone (801) 766-0606

275 W 200 N
Lindon, UT 84042
Phone (801) 796-1333

830 N 2000 W
Pleasant Grv, UT 84062
Phone (801) 756-3511

62 E Thrive Dr
Ste 100
Saratoga Springs, UT 84045
Phone (801) 766-8427

707 E Mill Rd
Ste 303
Vineyard, UT 84059
Phone (801) 224-1300

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660435200000",
    "number": "1679201826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9621 N 4500 W",
            "city": "CEDAR HILLS",
            "state": "UT",
            "postal_code": "840629404",
            "telephone_number": "801-471-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9621 N 4500 W",
            "city": "CEDAR HILLS",
            "state": "UT",
            "postal_code": "840629404",
            "telephone_number": "801-471-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JOSLYN",
        "middle_name": "DANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-14",
        "last_updated": "2022-08-14",
        "certification_date": "2022-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "8486888-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Hills, UT

Sources for this page

Verify at the official NPI Registry.