Individual provider Active NPI

Jonas Jen Twu

  • Family Nurse Practitioner
  • Taylorsville, UT
National Provider Identifier
1942997382
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10392833-4405 Issued in UT
Practice address
6084 S Summit Vista Blvd
Taylorsville, UT 84129-3209
Phone
(385) 255-1105
NPI assigned
Apr 18, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 10392833-4405 UT Primary

Addresses

Primary practice location

6084 S Summit Vista Blvd
Taylorsville, UT 84129-3209

Mailing address

138 E 12300 S Ste C200
Draper, UT 84020-7976

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
I20241023000285 UT Practitioner - Nurse Practitioner 2264965789 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Post Acute Medical PLLCGroup PAC ID 5193156115, 433 clinicians

Practice addresses (Care Compare)

451 E Bishop Federal LN
Salt Lake City, UT 84115-2357
Phone (888) 408-7008

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10392833-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Santibanez Pac Utah CurrentSince Aug 1, 2024 Accepting new patients
Post Acute Medical PLLC Internal Medicine CurrentSince May 25, 2025 Accepting new patients

Locations

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

1201 E 4500 S
Millcreek, UT 84117
Phone (801) 261-3664

1992 S Columbia Ln
Orem, UT 84097
Phone (801) 724-6500

451 E Bishop Federal Ln
South Salt Lake, UT 84115
Phone (801) 487-7557

6084 S Summit Vista Blvd
Taylorsville, UT 84129
Phone (385) 255-1105

3706 W 9000 S
West Jordan, UT 84088
Phone (801) 280-2273

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1942997382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 E 12300 S STE C200",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840207976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6084 S SUMMIT VISTA BLVD",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841293209",
            "telephone_number": "385-255-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TWU",
        "first_name": "JONAS",
        "middle_name": "JEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-18",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "10392833-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylorsville, UT

Sources for this page

Verify at the official NPI Registry.