Jennifer Carter Mosteller, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

9765586-4405 Issued in UT

Practice address

1219 N 400 E
Logan, UT 84341-2321

Phone

(435) 565-6043

NPI assigned

Mar 20, 2019

Last updated

Jan 6, 2022By the provider in NPPES

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

Specialty

Nurse Practitioner

Education

University of Cincinnati College of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Living Tree Medical GroupGroup PAC ID 5294128963, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Nell J Redfield Memorial Hospital Hospital, Malad City, ID, CCN 131303
• Intermountain Health Logan Regional Hospital Hospital, Logan, UT, CCN 460015

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Living Tree Medical Group

  • Family Medicine Physician
  • Logan, UT
  • NPI 1639754583
  Medicare reassignment Care Compare group NPD
• Living Tree Urgent Care

  • Urgent Care Clinic/Center
  • Logan, UT
  • NPI 1366112922
  Medicare reassignment NPD
• Hospital Corporation of Utah

  dba Lakeview Hospital

  • Psychiatric Hospital Unit
  • Bountiful, UT
  • NPI 1497709471
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ihc Health Services Inc

  dba Intermountain Health Logan Regional Hospital

  • General Acute Care Hospital
  • Logan, UT
  • NPI 1831108497
  Care Compare affiliation
• Oneida County Hospital

  • Critical Access Hospital
  • Malad, ID
  • NPI 1609826270
  Care Compare affiliation

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1801356530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 N 400 E",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412321",
            "telephone_number": "801-262-7246",
            "fax_number": "801-262-3442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 N 400 E",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412321",
            "telephone_number": "435-565-6043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5801 S Fashion Blvd Ste 180",
            "address_purpose": "LOCATION",
            "city": "Murray",
            "state": "UT",
            "postal_code": "841078135",
            "country_code": "US",
            "telephone_number": "801-262-7246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSTELLER",
        "first_name": "JENNIFER",
        "middle_name": "CARTER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-20",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "9765586-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tod Michael Morrison, FNP
• Glenn O Mortensen, MD
• Blake C. Mortenson, M.D.
• Francis Neal Mortenson, M.D.
• Timothy Mosher, DMD
• Mount Logan Clinic LLC
• Mountain View Foot and Ankle Specialists Inc
• Laycee Mozingo, RDN
• Karen Frances Munoz, ED.D.
• Madison Payge Murphy

• Nurse Practitioner in Logan, UT
• Providers in Logan, UT by specialty
• Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.