Jessinna Nielson, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5798263-4405 Issued in UT

Practice address

722 Shepard LN Ste 102
Farmington, UT 84025-3845

Phone

(385) 988-3965

NPI assigned

Oct 4, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Aspen Institute for Behavioral Assessment

  • Psychiatric Residential Treatment Facility
  • Syracuse, UT
  • NPI 1972635332
  NPD (past)
• Viewpoint Center

  • Psychiatric Hospital
  • Syracuse, UT
  • NPI 1972913697
  NPD (past)

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

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570147200000",
    "number": "1700427382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 S 2300 W",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840375404",
            "telephone_number": "801-602-1981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 SHEPARD LN STE 102",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840253845",
            "telephone_number": "385-988-3965"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2732 W 2700 S",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "UT",
            "postal_code": "840759617",
            "country_code": "US",
            "telephone_number": "801-825-5222",
            "fax_number": "801-825-8222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIELSON",
        "first_name": "JESSINNA",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-04",
        "last_updated": "2019-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "5798263-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Nguyen
• Chelle Nickle, O.D.
• Doug E Nielsen, MSW, LCSW
• Florence Ann Nielsen, CSW
• Jen Nielsen, RN
• Maureen Sue Noble, ACMHC
• Sydney Northcutt, RBT
• Kathleen Anne O'Neil, M.D.
• Oakridge Dental
• Conner Jack Ogden, DMD

• Family Nurse Practitioner in Farmington, UT
• Providers in Farmington, UT by specialty
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.