Mr Jacob Sanderson, FNP-BC - Medicare Nurse Practitioner in Logan, UT

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Mr Jacob Sanderson, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Logan, Utah. He graduated from nursing school in 2011 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Atlas Medical Utah Llc, Sound Physicians Of Wyoming, Llc and his current practice location is 1400 N 500 E, Logan, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 716-2000.

Mr Jacob Sanderson is licensed to practice in Utah (license number 6231344-4405) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1265094742.

Contact Information

Mr Jacob Sanderson, FNP-BC
1400 N 500 E,
Logan, UT 84341-2455
(435) 716-2000
Not Available

Map and Direction




Provider's Profile

Full NameMr Jacob Sanderson
GenderMale
SpecialityNurse Practitioner
Experience14 Years
Location1400 N 500 E, Logan, Utah
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Jacob Sanderson graduated from nursing school in 2011
  NPI Data:
  • NPI Number: 1265094742
  • Provider Enumeration Date: 07/03/2019
  • Last Update Date: 10/13/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 3971834441
  • Enrollment ID: I20191015000287

Medical Identifiers

Medical identifiers for Mr Jacob Sanderson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265094742NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 6231344-4405 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Integrity Home HealthBrigham city, UTHome health agency
Integrity HospiceNorth logan, UTHospice
Logan Regional HospitalLogan, UTHospital
Cache Valley HospitalNorth logan, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Atlas Medical Utah Llc49819370347
Sound Physicians Of Wyoming, Llc832521482833

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. Mr Jacob Sanderson allows following entities to bill medicare on his behalf.
Entity NameRocky Mountain Emergency Specialists Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225078736
PECOS PAC ID: 5597662320
Enrollment ID: O20031218000389
Entity NameAtlas Medical Utah Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568928133
PECOS PAC ID: 4981937034
Enrollment ID: O20190605001965
Entity NameSound Physicians Of Wyoming, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982982708
PECOS PAC ID: 8325214828
Enrollment ID: O20240311002432
Entity NameAtlas Medical Aco Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790513109
PECOS PAC ID: 1456885227
Enrollment ID: O20241115002118

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. Mr Jacob Sanderson 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
Mr Jacob Sanderson, FNP-BC
573 S 1080 E,
Smithfield, UT 84335-5103

Ph: (435) 757-3784		Mr Jacob Sanderson, FNP-BC
1400 N 500 E,
Logan, UT 84341-2455

Ph: (435) 716-2000

Reviews and Comments


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Sarah Hope Horton, FNP
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Todd Hamblin,
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Mr. Kyle J Higginson, AG-ACNP-BC
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Mr. Tod Michael Morrison, FNP
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Phone: 435-915-4465    Fax: 435-799-3664
Emily Fonua, APRN
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Practice Location: 550 E 1400 N Ste I, Logan, UT 84341
Phone: 435-753-1545    Fax: 435-753-3153
Mr. Kendall Gilbert Brown, FNP-BC
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Practice Location: 1225 Valley View Dr, Logan, UT 84321
Phone: 435-755-1000    

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.