MR. JACOB SANDERSON FNP-BC
NPI 1265094742
Nurse Practitioner - Family in Logan, UT

Q: What is Jacob Sanderson's NPI number?

The NPI number for Jacob Sanderson is 1265094742. It was assigned to this individual provider in the NPPES registry on July 3, 2019.

Q: What is Jacob Sanderson'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 Jacob Sanderson was last updated on October 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 July 03, 2019PECOS EnrolledAccepts Medicare Assignment

1400 N 500 E, LOGAN, UT 84341(435) 716-2000 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Mr. Jacob Sanderson Fnp-bc NPPES

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

MR. JACOB SANDERSON FNP-BC (NPI 1265094742) is an individual family provider in Logan, Utah, licensed in Utah (6231344-4405) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS, is affiliated with Logan Regional Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1265094742

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. JACOB SANDERSONCredential: FNP-BC

Location Address1400 N 500 ELogan, UT 84341-2455

Mailing Address573 S 1080 ESmithfield, UT 84335-5103 · (435) 757-3784

Phone(435) 716-2000

Sole ProprietorNo

Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2019

Enumeration DateJuly 3, 2019

Last NPPES UpdateOctober 13, 2025

NPPES CertifiedOctober 13, 2025

✔ NPI 1265094742 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 · 6231344-4405

1400 N 500 E, Logan, UT 84341

Open in Google Maps ↗

Secondary Practice Locations 2

Location 130 N State StPreston, ID 83263-1237 · Phone (435) 383-6120 · Fax (435) 557-8003

Location 2258 S Main St Ste 210Logan, UT 84321-5768 · Phone (435) 383-6120 · Fax (435) 557-8003

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, 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

Mr. Jacob Sanderson Fnp-bc 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 ID3971834441

PECOS Enrollment IDI20191015000287, I20251110002448

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 Reassignments

Medicare enrollment records show Jacob Sanderson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rocky Mountain Emergency Specialists LLC

Same address

Emergency Medicine

1400 N 500 E
Logan, UT 84341

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

NPI 1225078736 (435) 716-1000

Atlas Medical Utah LLC

2.2 mi

Internal Medicine

258 S MAIN ST STE 210
Logan, UT 84321

Reassigned Medicare billing, Idaho and Utah enrollments
3 clinicians in this Medicare group

NPI 1568928133 (435) 383-6120

Hospitalist Medicine Physicians Of Michigan - Dowagiac, PLLC

1,348 mi

Internal Medicine

1521 GULL RD
Kalamazoo, MI 49048

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

NPI 1932957495 (615) 377-5658

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 16

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

1,331 services138 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.

553 services95 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

131 services43 patients

Assessment of and care planning for patient with impaired thought processing, typically 60 minutes 99483

This service involves a thorough evaluation of your thought processes, which may be impacting your daily life. In a typical 50-minute session, a healthcare professional will assess your cognitive abilities, identify any areas of concern, and develop a personalized care plan to help improve your mental function.

122 services111 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

61 services42 patients

Assessment of and care planning for patient with impaired thought processing, typically 60 minutes 99483

59 services47 patients

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

42 services25 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.

41 services40 patients

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.

38 services23 patients

Advance care planning, first 30 minutes 99497

36 services33 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

32 services27 patients

Nursing facility discharge management, more than 30 minutes 99316

Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.

27 services23 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

21 services21 patients

Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) G0506

This service involves a thorough evaluation of patients needing ongoing care for chronic conditions. It includes creating a tailored care plan, coordinating with healthcare providers, and monitoring progress regularly. The goal is to provide optimal, personalized care for your long-term health needs.

16 services16 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.

14 services14 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Logan Regional Hospital

Acute Care Hospitals · Logan, UT

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460015

Location1400 North 500 EastLogan, UT 84341 · Cache County

Emergency services Birthing friendly

Brigham City Community Hospital

Acute Care Hospitals · Brigham City, UT

OwnershipProprietary

CMS Certification Number460017

Location950 South Medical DriveBrigham City, UT 84302 · Box Elder County

Emergency services Birthing friendly

Cache Valley Hospital

Acute Care Hospitals · North Logan, UT

OwnershipProprietary

CMS Certification Number460054

Location2380 North 400 EastNorth Logan, UT 84341 · Cache County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84341 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 20

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

SHAUN P DAHLE PT

Physical Therapist

1400 N 500 E
LOGAN, UT 84341

Cache County (435) 716-6440

BRANDON DAVID GREENWOOD PT

Physical Therapist

1400 N 500 E
LOGAN, UT 84341

Cache County (435) 716-1000

IHC HEALTH SERVICES INC

Obstetrics & Gynecology

1400 N 500 E
LOGAN, UT 84341

Cache County (435) 752-0422

IHC HEALTH SERVICES INC

Preventive Medicine (Undersea and Hyperbaric Medicine)

1400 N 500 E
LOGAN, UT 84341

Cache County (435) 716-2250

LOGAN RADIOLOGY GROUP LLC

Radiology (Diagnostic Radiology)

1400 N 500 E
LOGAN, UT 84341

Cache County (281) 980-1430

PARKER EUGENE LUDWIG MD

Radiology (Diagnostic Radiology)

1400 N 500 E
LOGAN, UT 84341

Cache County (800) 399-6438

NORTHERN UTAH PATHOLOGY PC

Pathology (Anatomic Pathology & Clinical Pathology)

1400 N 500 E
LOGAN, UT 84341

Cache County (435) 716-5375

SARAH C SIEVERS DPT

Physical Therapist

1400 N 500 E
LOGAN, UT 84341

Cache County (435) 755-3360

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 Jacob Sanderson's NPI number?

The NPI number for Jacob Sanderson is 1265094742. It was assigned to this individual provider in the NPPES registry on July 3, 2019.

Where is Jacob Sanderson located?

Jacob Sanderson practices at 1400 N 500 E, Logan, UT 84341. The listed phone number is (435) 716-2000.

What is Jacob Sanderson's specialty?

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

Is Jacob Sanderson enrolled in Medicare?

Yes. Jacob Sanderson 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 organizations bill Medicare for Jacob Sanderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Sanderson reassigns Medicare benefits to 3 organizations: Rocky Mountain Emergency Specialists LLC (Logan, UT), Atlas Medical Utah LLC (Logan, UT) and Hospitalist Medicine Physicians Of Michigan - Dowagiac, PLLC (Kalamazoo, MI). Each 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 Jacob Sanderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacob Sanderson accept?

Health plans from Molina Healthcare and University of Utah Health Plans list Jacob Sanderson 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 Jacob Sanderson affiliated with any hospitals?

According to CMS data, Jacob Sanderson is affiliated with Logan Regional Hospital, Brigham City Community Hospital and Cache Valley Hospital.

When was this NPI record last updated?

The NPPES record for Jacob Sanderson was last updated on October 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.