Joslyn Dana Wilson
Individual provider Active NPI Nurse Practitioner · Cedar Hills, UT
NPI 1679201826 · NPPES record last updated Aug 14, 2022
Key facts
- NPI
- 1679201826
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 8486888-4405 (UT)
- Practice address
- 9621 N 4500 W
Cedar Hills, UT 84062-9404 - Phone
- (801) 471-5575
- NPI assigned
- Aug 14, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Premier Family Medical
Practice addresses (Care Compare)
275 W 200
Lindon, UT 84042-5009
Phone (801) 796-1333
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 |
|---|---|---|---|---|
| I20221109001552 | UT | Practitioner - Nurse Practitioner | 0143697805 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8486888-4405 | UT | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Family Medical | Family Medicine | Current | Accepting new patients |
| Alpine Dermatology PC | Current |
Accepting new patients | |
| Premier Family Medical - City Center | Family Medicine | Current |
Accepting new patients |
| Premier Family Medical - American Fork | Family Medicine | Current |
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) 855-3840
3943 E Pony Express Pkwy
Ste 120
Eagle Mountain, UT 84005
Phone (801) 443-1184
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 8486888-4405 | UT | Yes |
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
Other providers in Cedar Hills, UT
- The Charleston at Cedar Hills
- Kara Cattani Thompson
- Dana Tischler
- Ut Specialty Dental Services, PLLC
- Walmart Inc.
- Kelsie Lenna Wimmer
- Craig Young
All providers in Cedar Hills, 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 Aug 14, 2022. 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.