Individual provider Active NPI

Jedediah S Briscoe, FNP

  • Family Nurse Practitioner
  • Salt Lake City, UT
National Provider Identifier
1962650184
Registry record updated Oct 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
334170-4408 Issued in UT
Practice address
1060 E 100 S
Salt Lake City, UT 84102-1501
Phone
(801) 350-4110
NPI assigned
Aug 29, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2008

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 334170-4408 UT Primary

Addresses

Primary practice location

1060 E 100 S
Salt Lake City, UT 84102-1501

Mailing address

1060 E 100 S
Salt Lake City, UT 84102-1501
Phone (801) 350-4110

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
I20140709003046 UT Practitioner - Nurse Practitioner 5698990513 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Senior Health LLCGroup PAC ID 6305260746, 27 clinicians
Silverton Group LLCGroup PAC ID 5395884019, 5 clinicians

Practice addresses (Care Compare)

475 Yellow Creek Rd
Evanston, WY 82930-5109
Phone (307) 789-0726

598 W 900
Suite 105
Woods Cross, UT 84010-8329
Phone (801) 693-4040

8 TH Ave and C St
Salt Lake City, UT 84143-0001
Phone (801) 408-7100

Hospital & facility affiliations

  • Rocky Mountain Home Health - Utah Home health agency, Woods Cross, UT, CCN 467061
  • Intermountain Health McKay-Dee Hospital Hospital, Ogden, UT, CCN 460004

Merit-based Incentive Payment System (MIPS)

Final score
99.54 of 100Reported as group
Quality
100
Improvement activities
40
Cost
65.13

Merit-based Incentive Payment System (MIPS)

Final score
61.24 of 100Reported as group
Quality
58.16
Promoting interoperability
0
Improvement activities
40
Cost
62.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
334170-4408UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Scenic Way LLC CurrentSince Aug 29, 2024 Accepting new patients
Hospice for Utah Inc. Family Medicine CurrentSince May 16, 2017 Accepting new patients
Silverton Group LLC CurrentSince Apr 12, 2014 Accepting new patients
Senior Health LLC Family CurrentSince Jan 1, 2021 Accepting new patients
Alpine Medical Group Past Accepting new patients

Locations

1481 E 1450 S
Clearfield, UT 84015
Phone (801) 397-4300

11639 S 700 E
Ste 100
Draper, UT 84020
Phone (801) 576-1455

1480 N 400 E
Logan, UT 84341
Phone (435) 750-5501

5097 S 900 E
Ste 100
Murray, UT 84117
Phone (801) 576-1455

55 S Professional Way
Payson, UT 84651
Phone (801) 465-9211

3419 W 12600 S
Riverton, UT 84065
Phone (801) 446-8400

8th Ave And C St
Salt Lake City, UT 84143
Phone (801) 350-4110

835 E Vine St
Salt Lake City, UT 84107
Phone (801) 266-3852

4252 S Birkhill Blvd
Salt Lake City, UT 84107
Phone (385) 425-0050

85 E 2000 N
Tooele, UT 84074
Phone (435) 843-2000

4090 W Pioneer Pkwy
West Valley City, UT 84120
Phone (801) 397-4400

576 W 900 S
Ste 105
Woods Cross, UT 84010
Phone (801) 298-4214

598 W 900 S
Ste 105
Woods Cross, UT 84010
Phone (801) 693-4040

598 W 900 S
Ste 220
Woods Cross, UT 84010
Phone (801) 693-2310

598 W 900 S
Ste 230
Woods Cross, UT 84010
Phone (385) 403-0410

475 Yellow Creek Rd
Evanston, WY 82930
Phone (307) 789-0726

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1219968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223856000000",
    "number": "1962650184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 E 100 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021501",
            "telephone_number": "801-350-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 E 100 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021501",
            "telephone_number": "801-350-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISCOE",
        "first_name": "JEDEDIAH",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-29",
        "last_updated": "2008-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "334170-4408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.