1. Home
  2. Directory
  3. Utah
  4. Tremonton
  5. Nurse Practitioner
  6. NPI Profile

JESSICA MCCULLOCH FNP-C
NPI 1275101610
Nurse Practitioner - Family in Tremonton, UT

Active since June 13, 2021PECOS EnrolledAccepts Medicare Assignment
57 N 775 E, TREMONTON, UT 84337(435) 915-6262(435) 201-8200 Get Directions Write a Review

NPPES record last updated: January 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 11, 2023, Jul 15, 2022, Jun 13, 2021 (3 updates tracked since 2021).

About Jessica Mcculloch Fnp-c NPPES

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

JESSICA MCCULLOCH FNP-C (NPI 1275101610) is an individual family provider in Tremonton, Utah, licensed in Utah (10400966-4405) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of University Of Utah School Of Medicine (2022).

NPPES Registry Identity

NPI1275101610
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJESSICA MCCULLOCHCredential: FNP-C
Location Address57 N 775 ETremonton, UT 84337-4103
Mailing Address280 S Main StBountiful, UT 84010-6236 · (801) 505-0821 · Fax (801) 505-0803
Phone(435) 915-6262
Fax(435) 201-8200
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2022
Enumeration DateJune 13, 2021
Last NPPES UpdateJanuary 11, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2023
✔ NPI 1275101610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in UT · 10400966-4405
Also ListedRegistered NurseTaxonomy 163W00000X · License 10400966-3102 (UT)
57 N 775 E, Tremonton, UT 84337
Open in Google Maps ↗

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jessica Mcculloch 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 ID6800321811
PECOS Enrollment IDI20241129000134
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 84337 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 4

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

HOLLY MATTHEWS
Nurse Practitioner (Family)
57 N 775 E
TREMONTON, UT 84337
Box Elder County (435) 915-6262
DR. TODD MILLER M.D.
Family Medicine
57 N 775 E
TREMONTON, UT 84337
Box Elder County (435) 915-6262
MILLER MEDICAL INC
Family Medicine
57 N 775 E
TREMONTON, UT 84337
Box Elder County (435) 915-6262
JESSICA MARIE MUHLESTEIN FNP
Nurse Practitioner (Family)
57 N 775 E
TREMONTON, UT 84337
Box Elder County (435) 915-6262

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 Jessica Mcculloch's NPI number?

The NPI number for Jessica Mcculloch is 1275101610. It was assigned to this individual provider in the NPPES registry on June 13, 2021.

Where is Jessica Mcculloch located?

Jessica Mcculloch practices at 57 N 775 E, Tremonton, UT 84337. The listed phone number is (435) 915-6262.

What is Jessica Mcculloch's specialty?

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

Is Jessica Mcculloch enrolled in Medicare?

Yes. Jessica Mcculloch 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.

What insurance does Jessica Mcculloch accept?

Health plans from Molina Healthcare and University of Utah Health Plans list Jessica Mcculloch 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.

When was this NPI record last updated?

The NPPES record for Jessica Mcculloch was last updated on January 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.