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JESSICA LEE ANDERSON RN
NPI 1063222065
Nurse Practitioner - Psychiatric/Mental Health in Provo, UT

Active since January 10, 2025PECOS EnrolledAccepts Medicare Assignment
320 RIVER PARK DR STE 255, PROVO, UT 84604(801) 616-3675 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 9, 2025, Nov 17, 2025, Jan 10, 2025 (3 updates tracked since 2025).

About Jessica Lee Anderson Rn NPPES

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

JESSICA LEE ANDERSON RN (NPI 1063222065) is an individual psychiatric/mental health provider in Provo, Utah, licensed in Utah (7544866-4405) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS, is affiliated with Intermountain Health Alta View Hospital, and is a graduate of Duke University School Of Medicine (2025).

NPPES Registry Identity

NPI1063222065
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJESSICA LEE ANDERSONCredential: RN
Location Address320 RIVER PARK DR STE 255Provo, UT 84604-6065
Mailing Address212 E Crossroads Blvd # 148Saratoga Springs, UT 84045-2966 · (801) 688-1947
Phone(801) 616-3675
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 2025
Enumeration DateJanuary 10, 2025
Last NPPES UpdateDecember 9, 20253 updates tracked since enumeration
NPPES CertifiedDecember 9, 2025
✔ NPI 1063222065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in UT · 7544866-4405
320 RIVER PARK DR STE 255, Provo, UT 84604
Open in Google Maps ↗

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

Jessica Lee Anderson Rn 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 ID1355836115
PECOS Enrollment IDI20251218003140
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Intermountain Health Alta View Hospital

Acute Care Hospitals · Sandy, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460044
Location9660 South 1300 EastSandy, UT 84094 · Salt Lake County
Emergency services Birthing friendly

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 3

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

NEURAL EFFECTS
Nurse Practitioner
320 RIVER PARK DR STE 255
PROVO, UT 84604
Utah County (801) 616-3675
KAYLENE ELDER FNP-C
Nurse Practitioner (Family)
320 RIVER PARK DR STE 255
PROVO, UT 84604
Utah County (385) 203-0246
ELIZABETH HUNTSMAN FNP-C
Nurse Practitioner
320 RIVER PARK DR STE 255
PROVO, UT 84604
Utah County (801) 999-0147

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 Jessica Anderson's NPI number?

The NPI number for Jessica Anderson is 1063222065. It was assigned to this individual provider in the NPPES registry on January 10, 2025.

Where is Jessica Anderson located?

Jessica Anderson practices at 320 River Park Dr Ste 255, Provo, UT 84604. The listed phone number is (801) 616-3675.

What is Jessica Anderson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jessica Anderson enrolled in Medicare?

Yes. Jessica Anderson 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.

Is Jessica Anderson affiliated with any hospitals?

According to CMS data, Jessica Anderson is affiliated with Intermountain Health Alta View Hospital.

When was this NPI record last updated?

The NPPES record for Jessica Anderson was last updated on December 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.