MERILEE JACOBSON FNP
NPI 1003656018
Nurse Practitioner - Family in Provo, UT

Active since May 28, 2024PECOS EnrolledAccepts Medicare Assignment
1055 N 500 W STE 212, PROVO, UT 84604(801) 374-2362 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Merilee Jacobson Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MERILEE JACOBSON FNP (NPI 1003656018) is an individual family provider in Provo, Utah, licensed in Utah (347825) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1003656018
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMERILEE JACOBSONCredential: FNP
Location Address1055 N 500 W STE 212Provo, UT 84604-3305
Mailing Address1055 N 500 W, Attn CredentialingProvo, UT 84604-3305 · (801) 354-8225 · Fax (801) 418-0941
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 28, 2024
Last NPPES UpdateApril 29, 2025
NPPES CertifiedApril 29, 2025
NPI 1003656018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in UT · 347825
1055 N 500 W STE 212, Provo, UT 84604

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Merilee Jacobson Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638615909
PECOS Enrollment IDI20240723001248
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
61 services56 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
53 services46 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
47 services42 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
37 services34 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
30 services29 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
26 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84604 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1055 N 500 W STE 212
PROVO, UT 84604
Nurse Practitioner
1055 N 500 W STE 212
PROVO, UT 84604
Internal Medicine
1055 N 500 W STE 212
PROVO, UT 84604
Nurse Practitioner (Family)
1055 N 500 W STE 212
PROVO, UT 84604
Nurse Practitioner (Family)
1055 N 500 W STE 212
PROVO, UT 84604
Physician Assistant
1055 N 500 W STE 212
PROVO, UT 84604
Nurse Practitioner (Family)
1055 N 500 W STE 212
PROVO, UT 84604
Nurse Practitioner (Family)
1055 N 500 W STE 212
PROVO, UT 84604

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Merilee Jacobson's NPI number?

The NPI number for Merilee Jacobson is 1003656018. It was assigned to this individual provider in the NPPES registry on May 28, 2024.

Where is Merilee Jacobson located?

Merilee Jacobson practices at 1055 N 500 W Ste 212, Provo, UT 84604. The listed phone number is (801) 374-2362.

What is Merilee Jacobson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Merilee Jacobson enrolled in Medicare?

Yes. Merilee Jacobson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Merilee Jacobson accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Merilee Jacobson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Merilee Jacobson was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.