MS. JESSICA C NEWBERRY FNP
NPI 1013503366
Nurse Practitioner - Family in Provo, UT

Q: What is Jessica Newberry's NPI number?

The NPI number for Jessica Newberry is 1013503366. It was assigned to this individual provider in the NPPES registry on December 20, 2020.

Q: What is Jessica Newberry's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jessica Newberry was last updated on January 12, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 20, 2020PECOS Enrolled

395 W COUGAR BLVD STE 205, PROVO, UT 84604(801) 357-1770 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 12, 2026, Mar 17, 2023, Dec 20, 2020 (3 updates tracked since 2020).

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About Ms. Jessica C Newberry Fnp NPPES

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

MS. JESSICA C NEWBERRY FNP (NPI 1013503366) is an individual family provider in Provo, Utah, licensed in Utah (311883-4405) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013503366

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. JESSICA C NEWBERRYCredential: FNP

Location Address395 W COUGAR BLVD STE 205Provo, UT 84604-3328

Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128 · (801) 357-1770

Phone(801) 357-1770

Sole ProprietorNo

Enumeration DateDecember 20, 2020

Last NPPES UpdateJanuary 12, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 12, 2026

✔ NPI 1013503366 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 · 311883-4405

395 W COUGAR BLVD STE 205, Provo, UT 84604

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Select Health, University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Jessica C Newberry Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers12 claims12 services$92.02 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

2 suppliers12 claims12 services$35.47 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 17

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

RANDY L ROGERS MD

Family Medicine