Merilee Jacobson, FNP in Provo, UT - Medicare Nurse Practitioner

Merilee Jacobson, FNP is a medicare enrolled "Nurse Practitioner - Family" in Provo, Utah. Her current practice location is 1055 N 500 W Ste 212, Provo, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 374-2362.

Merilee Jacobson is licensed to practice in Utah (license number 347825) 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 1003656018.

Contact Information

	Merilee Jacobson, FNP
	1055 N 500 W Ste 212, Provo, UT 84604-3305
	(801) 374-2362
	Not Available

Map and Direction

Provider's Profile

Full Name	Merilee Jacobson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1055 N 500 W Ste 212, Provo, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003656018
Provider Enumeration Date: 05/28/2024
Last Update Date: 04/29/2025

Medicare PECOS Information:

PECOS PAC ID: 9638615909
Enrollment ID: I20240723001248

Medical Identifiers

Medical identifiers for Merilee Jacobson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003656018	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	347825 (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. Merilee Jacobson allows following entities to bill medicare on her behalf.

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

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. Merilee Jacobson 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 Address	Practice Location Address
Merilee Jacobson, FNP 1055 N 500 W, Attn Credentialing, Provo, UT 84604-3305 Ph: (801) 354-8225	Merilee Jacobson, FNP 1055 N 500 W Ste 212, Provo, UT 84604-3305 Ph: (801) 374-2362

Reviews and Comments

Nurse Practitioner Nurses in Provo, UT

Sharla Morgan, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1055 N 300 W Ste 303, Provo, UT 84604 Phone: 801-356-1300 Fax: 801-356-1304
Ashley Saunders, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1055 N 500 W Bldg A, Provo, UT 84604 Phone: 801-812-5033 Fax: 801-812-5034
Mr. Michael Frank Gibson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1355 North University Ave, Suite 210, Provo, UT 84604 Phone: 801-373-8930 Fax: 801-377-6811
Crystal C Huffaker, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1055 N 500 W, Ste 211, Building C, Provo, UT 84604 Phone: 801-357-7327 Fax: 801-375-8860
Connie Denise Taylor, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 75 S 200 E, Ste 100, Provo, UT 84606 Phone: 801-877-5801 Fax: 801-877-5802
Jennifer Lynn Osborne, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W, Suite 101, Provo, UT 84604 Phone: 801-373-4366 Fax: 801-429-8191

Merilee Jacobson, FNP - Medicare Nurse Practitioner in Provo, UT