Lu Ann Jacobs-peterson, APRN FNP - Medicare Nurse Practitioner in Tooele, UT

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Lu Ann Jacobs-peterson, APRN FNP is a medicare enrolled "Nurse Practitioner" in Tooele, Utah. Her current practice location is 2376 N 400 E Ste 205, Tooele, Utah. You can reach out to her office (for appointments etc.) via phone at (435) 882-8111.

Lu Ann Jacobs-peterson is licensed to practice in Utah (license number 219855-4405) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1396918462.

Contact Information

Lu Ann Jacobs-peterson, APRN FNP
2376 N 400 E Ste 205,
Tooele, UT 84074-3413
(435) 882-8111
(435) 882-2111

Map and Direction




Provider's Profile

Full NameLu Ann Jacobs-peterson
GenderFemale
SpecialityNurse Practitioner
Location2376 N 400 E Ste 205, Tooele, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1396918462
  • Provider Enumeration Date: 04/09/2008
  • Last Update Date: 10/23/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8729140819
  • Enrollment ID: I20081226000049

Medical Identifiers

Medical identifiers for Lu Ann Jacobs-peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396918462NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 219855-4405 (Utah)Secondary
363L00000XNurse Practitioner 219855-4405 (Utah)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Lu Ann Jacobs-peterson allows following entities to bill medicare on her behalf.
Entity NameIhc Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942325154
PECOS PAC ID: 1850209420
Enrollment ID: O20080610000303
Entity NameGeneral Surgery At Northpointe, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164782496
PECOS PAC ID: 0648421990
Enrollment ID: O20121113000780

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lu Ann Jacobs-peterson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lu Ann Jacobs-peterson, APRN FNP
14540 S Majestic Oaks Ln,
Herriman, UT 84096-3645

Ph: (801) 232-1998		Lu Ann Jacobs-peterson, APRN FNP
2376 N 400 E Ste 205,
Tooele, UT 84074-3413

Ph: (435) 882-8111

Reviews and Comments


Nurse Practitioner Nurses in Tooele, UT

Julee Kimball, APRN, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 196 E 2000 N Ste 106, Tooele, UT 84074
Phone: 435-843-2634    
Mr. Brand Paxton Reynolds, FNP-C
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Medicare: Accepting Medicare Assignments
Practice Location: 491 N Main St, Tooele, UT 84074
Phone: 435-843-8881    
Mrs. Catherine Carter, APRN, NP-C
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Medicare: Accepting Medicare Assignments
Practice Location: 196 E 2000 N, 100, Tooele, UT 84074
Phone: 435-882-7644    
Krystle Dawn Lowrance, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 196 E 2000 N Ste 110, Tooele, UT 84074
Phone: 435-843-3677    
Frances Margaret Matuszewski, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 85 W Vine St, Tooele, UT 84074
Phone: 435-882-6432    
Douglas Earl Farley, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1244 N Main St Ste 201, Tooele, UT 84074
Phone: 435-882-3968    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.