Individual provider Active NPI

Jill Holker, RN

  • Nurse Practitioner
  • Provo, UT
National Provider Identifier
1972816775
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
314394-4405 Issued in UT
Practice address
1055 N 300 W Ste 401
Provo, UT 84604-3306
Phone
(801) 357-7499
NPI assigned
Jul 21, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 314394-4405 UT Primary

Addresses

Primary practice location

1055 N 300 W Ste 401
Provo, UT 84604-3306

Mailing address

1055 N 300 W Ste 401
Provo, UT 84604-3306
Phone (801) 357-7499

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
I20231013000730 UT Practitioner - Nurse Practitioner 0042665887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peak ENT AssociatesGroup PAC ID 4284781543, 20 clinicians

Practice addresses (Care Compare)

1055 N 300 W
Suite 401
Provo, UT 84604-3306
Phone (801) 357-7499

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Peak ENT Associates Nurse Practitioner CurrentSince Aug 12, 2023 Accepting new patients
Haven Home for Girls Past Accepting new patients

Locations

3000 N Triumph Blvd
Ste 260
Lehi, UT 84043
Phone (385) 287-6070

3668 W 2150 N
Ste 300
Lehi, UT 84048

48 W 1500 N
Nephi, UT 84648
Phone (435) 623-3000

1055 N 300 W
Ste 211
Provo, UT 84604
Phone (801) 852-9684

1055 N 300 W
Ste 401
Provo, UT 84604
Phone (801) 375-4646

1055 N 300 W
Ste 311
Provo, UT 84604
Phone (385) 477-6800

1055 N 300 W
Ste 302
Provo, UT 84604
Phone (801) 357-2534

1055 N 300 W
Ste 303
Provo, UT 84604
Phone (801) 356-1300

1055 N 300 W
Ste 308
Provo, UT 84604
Phone (801) 357-7327

692 E Market Place Dr
Ste 201
Spanish Fork, UT 84660
Phone (385) 448-0446

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": "1279670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1972816775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 N 300 W STE 401",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043306",
            "telephone_number": "801-357-7499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 N 300 W STE 401",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043306",
            "telephone_number": "801-357-7499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLKER",
        "first_name": "JILL",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-21",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "314394-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

Verify at the official NPI Registry.