MR. JAMES EDWARD FENTON JR. FNP
NPI 1114579596
Nurse Practitioner - Family in Clearfield, UT

Q: What is James Fenton's NPI number?

The NPI number for James Fenton is 1114579596. It was assigned to this individual provider in the NPPES registry on July 15, 2019.

Q: What is James Fenton'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 James Fenton was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since July 15, 2019PECOS EnrolledAccepts Medicare Assignment

600 S STATE ST STE 2, CLEARFIELD, UT 84015(385) 483-1003(386) 222-7279 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 30, 2019, Jul 15, 2019 (2 updates tracked since 2019).

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About Mr. James Edward Fenton Jr. Fnp NPPES

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

MR. JAMES EDWARD FENTON JR. FNP (NPI 1114579596) is an individual family provider in Clearfield, Utah, licensed in Utah (11425353-4405) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1114579596

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. JAMES EDWARD FENTON JR.Credential: FNP

Location Address600 S STATE ST STE 2Clearfield, UT 84015-1210

Mailing Address3841 Westwood DrPleasant View, UT 84414-1319 · (217) 779-3606

Phone(385) 483-1003

Fax(386) 222-7279

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJuly 15, 2019

Last NPPES UpdateAugust 26, 20242 updates tracked since enumeration

NPPES CertifiedAugust 26, 2024

✔ NPI 1114579596 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

Licenses✔ Licensed in UT · 11425353-4405✔ Licensed in IA · A155585✔ Licensed in IL · 209.019352

600 S STATE ST STE 2, Clearfield, UT 84015

Open in Google Maps ↗

Secondary Practice Locations 2

Location 1612 Main StKeokuk, IA 52632-5450 · Phone (319) 524-3339

Location 22351 Grant Ave Ste 201Ogden, UT 84401 · Phone (801) 317-8099

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. James Edward Fenton Jr. 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 ID5799119137

PECOS Enrollment IDI20191218001524

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.

Medicare Billing Reassignment

Medicare enrollment records show James Fenton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mmg LLC

25 mi

Nurse Practitioner

302 W 5400 S STE 200
Murray, UT 84107

Reassigned Medicare billing, Utah enrollment
10 clinicians in this Medicare group

NPI 1295392645 (801) 456-2333

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350

An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.

396 services107 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

43 services41 patients

Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345

A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.

23 services23 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

14 services13 patients

Hospital Affiliations CMS Care Compare

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

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number130006

Location190 East Bannock StreetBoise, ID 83712 · Ada County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84015 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 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers16 claims16 services$15.75 avg. paid by Medicare

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

4 suppliers44 claims44 services$80.19 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers20 claims20 services$33.24 avg. paid by Medicare

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

Other Providers at the Same Location NPPES 4

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

MEN S TRIBAL HOUSE INC

Family Medicine

600 S STATE ST STE 2
CLEARFIELD, UT 84015

Davis County (385) 240-1232

MRS. AMY M JONES FNP

Nurse Practitioner (Family)

600 S STATE ST STE 2
CLEARFIELD, UT 84015

Davis County (385) 483-1003

COREY L ERICKSEN DO

Family Medicine

600 S STATE ST STE 2
CLEARFIELD, UT 84015

Davis County (801) 628-8877

ERIN DAVIES CLAWSON NP

Nurse Practitioner (Family)

600 S STATE ST STE 2
CLEARFIELD, UT 84015

Davis County (385) 240-1232

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 James Fenton's NPI number?

The NPI number for James Fenton is 1114579596. It was assigned to this individual provider in the NPPES registry on July 15, 2019.

Where is James Fenton located?

James Fenton practices at 600 S State St Ste 2, Clearfield, UT 84015. The listed phone number is (385) 483-1003.

What is James Fenton's specialty?

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

Is James Fenton enrolled in Medicare?

Yes. James Fenton 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.

Which organization bills Medicare for James Fenton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Fenton reassigns Medicare benefits to Mmg LLC (Murray, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Fenton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Fenton accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list James Fenton 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.

Is James Fenton affiliated with any hospitals?

According to CMS data, James Fenton is affiliated with St Luke's Regional Medical Center.

When was this NPI record last updated?

The NPPES record for James Fenton was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.