Jodi Andersen, WHNP
Individual provider Active NPI Women's Health Nurse Practitioner · Bountiful, UT
NPI 1881344778 · NPPES record last updated Sep 3, 2025
Key facts
- NPI
- 1881344778
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Women's Health Nurse Practitioner 363LW0102X
- License
- 374064-4405 (UT)
- Practice address
- 1551 Renaissance Towne Dr Ste 460
Bountiful, UT 84010-7672 - Phone
- (801) 200-2999
- Fax
- (385) 252-3338
- NPI assigned
- Mar 24, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1895 W Deep Creek Rd
Morgan, UT 84050-9621
PO Box
Suite 432
Kaysville, UT 84037
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
- Opted out of Medicare
- Yes, effective Nov 8, 2025 through Nov 8, 2027
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 374064-4405 | UT | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weekend Vasectomy Clinic LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 374064-3102 | UT | |
| Women's Health Nurse Practitioner | 363LW0102X | 374064-4405 | UT | Yes |
Addresses
Primary practice location
1551 Renaissance Towne Dr Ste 460
Bountiful, UT 84010-7672
Mailing address
1895 W Deep Creek Rd
Morgan, UT 84050-9621
Phone (801) 391-8736
Other practice location 1
1895 W Deep Creek Rd
Morgan, UT 84050-9621
Phone (801) 391-8736
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 374064-4405 | Other | UT | STATE LICENSE |
Other providers in Bountiful, UT
- Alta Medical Supply LLC
- Altitude Kidney Health PLLC
- Always There Home Health Inc
- Ambulatory Anesthesiologists LLC
- Richard Andelin
- Alyssa Anderson
- Brooke Anderson
- Carey Marie Anderson
- Holly Marie Anderson
- Jeffrey Anderson
All providers in Bountiful, UT · Women's Health 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 Sep 3, 2025. 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).
- Opt Out Affidavits (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.