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NICHOLAS GEORGE JARVIS FNP-C
NPI 1205648219
Nurse Practitioner - Family in Kaysville, UT

Active since January 25, 2025PECOS EnrolledAccepts Medicare Assignment
375 N MAIN ST STE 103, KAYSVILLE, UT 84037(801) 876-3749 Get Directions Write a Review

NPPES record last updated: January 29, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nicholas George Jarvis Fnp-c NPPES

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

NICHOLAS GEORGE JARVIS FNP-C (NPI 1205648219) is an individual family provider in Kaysville, Utah, licensed in Utah (11422131-4405) and active in the NPI registry since January 2025. He is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1205648219
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameNICHOLAS GEORGE JARVISCredential: FNP-C
Location Address375 N MAIN ST STE 103Kaysville, UT 84037-1272
Mailing Address1636 N 3100 WClinton, UT 84015-9494
Phone(801) 876-3749
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 25, 2025
Last NPPES UpdateJanuary 29, 2025
NPPES CertifiedJanuary 29, 2025
✔ NPI 1205648219 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 · 11422131-4405
375 N MAIN ST STE 103, Kaysville, UT 84037
Open in Google Maps ↗

Other Names 1

Other Name (5)Nick George Jarvis

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, University of Utah Health Plans.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

Nicholas George Jarvis Fnp-c 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 ID6204366644
PECOS Enrollment IDI20250213003596
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 Nicholas Jarvis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gary F Holland MD PC
Same address
Family Medicine
375 N MAIN ST STE 103
Kaysville, UT 84037
  • Reassigned Medicare billing, Utah enrollment
  • 12 clinicians in this Medicare group
NPI 1598861999 (801) 876-3749

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

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 84037 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 6

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

JOCELYN ANNE MONTIERTH MSN, APRN, AGPCNP-BC
Nurse Practitioner (Primary Care)
375 N MAIN ST STE 103
KAYSVILLE, UT 84037
Davis County (801) 216-4130
MR. JORDAN WYLER JOHNSEN FNP-BC
Nurse Practitioner (Family)
375 N MAIN ST STE 103
KAYSVILLE, UT 84037
Davis County (801) 876-3749
DR. ANNELYSE NITA CAFFREY DNP, FNP-BC
Nurse Practitioner (Family)
375 N MAIN ST STE 103
KAYSVILLE, UT 84037
Davis County (801) 876-3749
GARY F HOLLAND MD PC
Family Medicine
375 N MAIN ST STE 103
KAYSVILLE, UT 84037
Davis County (801) 876-3749
DR. GARY F HOLLAND MD
Family Medicine
375 N MAIN ST STE 103
KAYSVILLE, UT 84037
Davis County (801) 368-0671
WASATCH WORX HOME HEALTH
Home Health
375 N MAIN ST STE 103
KAYSVILLE, UT 84037
Davis County (801) 497-1907

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 Nicholas Jarvis's NPI number?

The NPI number for Nicholas Jarvis is 1205648219. It was assigned to this individual provider in the NPPES registry on January 25, 2025. The provider is also known as Nick George Jarvis.

Where is Nicholas Jarvis located?

Nicholas Jarvis practices at 375 N Main St Ste 103, Kaysville, UT 84037. The listed phone number is (801) 876-3749.

What is Nicholas Jarvis's specialty?

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

Is Nicholas Jarvis enrolled in Medicare?

Yes. Nicholas Jarvis 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 Nicholas Jarvis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Jarvis reassigns Medicare benefits to Gary F Holland MD PC (Kaysville, 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 Nicholas Jarvis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicholas Jarvis accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Nicholas Jarvis 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 Nicholas Jarvis affiliated with any hospitals?

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

When was this NPI record last updated?

The NPPES record for Nicholas Jarvis was last updated on January 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.