| Colton Jackson, NP | |
|
555 W State Road 164, Salem, UT 84653-5732 | |
| (385) 203-2720 | |
| (801) 798-8961 |
| Full Name | Colton Jackson |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 555 W State Road 164, Salem, Utah |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942029152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 9420231-4405 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Utah Valley Hospital | Provo, UT | Hospital |
| Gunnison Valley Hospital | Gunnison, UT | Hospital |
| Sevier Valley Hospital | Richfield, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central Utah Clinic Pc | 7517868508 | 388 |
| Entity Name | Central Utah Clinic Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093764805 PECOS PAC ID: 7517868508 Enrollment ID: O20040113000805 |
| Mailing Address | Practice Location Address |
|---|---|
| Colton Jackson, NP 1055 N 500 W, Attn: Credentialing, Provo, UT 84604 Ph: (801) 354-8225 | Colton Jackson, NP 555 W State Road 164, Salem, UT 84653-5732 Ph: (385) 203-2720 |
Austin Guy Blanchard, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1548 S Carson Way, Salem, UT 84653 Phone: 801-380-2386 | |
Dr. Josh Hooton, A/GNP, FNP-C, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 251 W State Road 198 Ste 3, Salem, UT 84653 Phone: 801-504-6665 Fax: 801-504-6073 | |
Krista Michelle Brinkerhoff, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 636 N 220 E, Salem, UT 84653 Phone: 801-616-1056 | |
Micquelle Curtis, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1031 S 440 E, Salem, UT 84653 Phone: 801-376-7629 | |
Con Kaleb Newman, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 555 W Sr 164, Salem, UT 84653 Phone: 801-465-4896 Fax: 801-465-0606 | |
Kristin Van Tassell, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 118 N Main St, Suite B, Salem, UT 84653 Phone: 801-477-9007 | |
Mrs. Karlen E Luthy, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 118 N Main St Ste B, Salem, UT 84653 Phone: 801-477-9007 Fax: 801-477-9006 |