DR. JACKE L CORBETT APRN
NPI 1114038882
Nurse Practitioner - Family in Salt Lake City, UT

Q: What is Jacke Corbett's NPI number?

The NPI number for Jacke Corbett is 1114038882. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Q: What is Jacke Corbett'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 Jacke Corbett was last updated on November 12, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 31, 2006PECOS Enrolled

50 N MEDICAL DR, SALT LAKE CITY, UT 84132(801) 581-2121 Get Directions Write a Review

NPPES record last updated: November 12, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Jacke L Corbett Aprn NPPES

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

DR. JACKE L CORBETT APRN (NPI 1114038882) is an individual family provider in Salt Lake City, Utah, licensed in Utah (210462-4405) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114038882

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameDR. JACKE L CORBETTCredential: APRN

Location Address50 N MEDICAL DRSalt Lake City, UT 84132-0001

Mailing AddressPo Box 510721Salt Lake City, UT 84151-0721 · (801) 587-6872 · Fax (801) 587-6675

Phone(801) 581-2121

Sole ProprietorNo

Enumeration DateAugust 31, 2006

Last NPPES UpdateNovember 12, 2021

NPPES CertifiedNovember 12, 2021

✔ NPI 1114038882 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 · 210462-4405

50 N MEDICAL DR, Salt Lake City, UT 84132

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Other Identifiers 1

Other02104624400001UT · Blue Cross Blue Shield Id

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jacke L Corbett Aprn 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 84132 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 7

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

Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg J7503

Treatment-Chemotherapy · category RH002N

5 suppliers18 claims4,488 services$1.18 avg. paid by Medicare

Tacrolimus, immediate release, oral, 1 mg J7507

Treatment-Treatment - Miscellaneous · category RX029N

9 suppliers49 claims4,665 services$0.32 avg. paid by Medicare

Prednisone, immediate release or delayed release, oral, 1 mg J7512

Treatment-Treatment - Miscellaneous · category RX029N

5 suppliers86 claims16,725 services$0.01 avg. paid by Medicare

Mycophenolic acid, oral, 180 mg J7518

Treatment-Treatment - Miscellaneous · category RX029N

10 suppliers62 claims10,536 services$0.91 avg. paid by Medicare

Everolimus, oral, 0.25 mg J7527

Treatment-Treatment - Miscellaneous · category RX029N

2 suppliers16 claims4,920 services$2.23 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

11 suppliers85 claims85 services$16.84 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 20

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

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