| Jerrica Elizabeth Stoddard, FNP | |
|
5640 S 3500 W, Roy, UT 84067-9158 | |
| (801) 773-2838 | |
| (801) 773-3025 |
| Full Name | Jerrica Elizabeth Stoddard |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 13 Years |
| Location | 5640 S 3500 W, Roy, Utah |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144584228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | NP-1179A (Idaho) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 9098960-4405 (Utah) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ihc Health Services Inc | 1850209420 | 3531 |
| 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 |
| Entity Name | Ihc Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
| Mailing Address | Practice Location Address |
|---|---|
| Jerrica Elizabeth Stoddard, FNP 1055 N 500 W, Attn: Credentialing, Provo, UT 84604-3305 Ph: (801) 354-8225 | Jerrica Elizabeth Stoddard, FNP 5640 S 3500 W, Roy, UT 84067-9158 Ph: (801) 773-2838 |
Mark Roland Nickle, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5305 S 1900 W, Roy, UT 84067 Phone: 801-825-5648 | |
Mr. Phil H Johnson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3485 W 5200 S, Roy, UT 84067 Phone: 801-475-3900 Fax: 801-475-3901 | |
Emily Shanafelt, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3485 W 5200 S, Roy, UT 84067 Phone: 801-475-3900 Fax: 801-475-3901 | |
Sarah Breckinridge Wadhams, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3485 W 5200 S, Roy, UT 84067 Phone: 801-475-3900 Fax: 801-475-3901 | |
Sandra Lowe Johnson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4254 S 2450 W, Roy, UT 84067 Phone: 801-388-8086 | |
Jill Woodring, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3443 W 5600 S, Roy, UT 84067 Phone: 801-773-4840 Fax: 801-525-8151 |