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

Q: 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.

Q: What is Nicholas Jarvis'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 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 18 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.

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: August 16, 2026.

On this page

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, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

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

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.

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)