JEREMY RATLIFF APRN FNP
NPI 1295255701
Nurse Practitioner - Psychiatric/Mental Health in Provo, UT

Active since June 26, 2017PECOS EnrolledAccepts Medicare Assignment
145 W 200 N STE 600, PROVO, UT 84601(801) 821-2781(801) 901-1194 Get Directions Write a Review

NPPES record last updated: December 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 18, 2025, May 21, 2025, May 10, 2025 and 5 more (8 updates tracked since 2017).

About Jeremy Ratliff Aprn Fnp NPPES

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

JEREMY RATLIFF APRN FNP (NPI 1295255701) is an individual psychiatric/mental health provider in Provo, Utah, licensed in Utah (5130849-4405) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1295255701
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameJEREMY RATLIFFCredential: APRN FNP
Location Address145 W 200 N STE 600Provo, UT 84601-3016
Mailing Address145 W 200 N Ste 600Provo, UT 84601-3016 · (801) 821-2781 · Fax (801) 901-1194
Fax(801) 901-1194
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 26, 2017
Last NPPES UpdateDecember 18, 20258 updates tracked since enumeration
NPPES CertifiedDecember 18, 2025
NPI 1295255701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in UT · 5130849-4405
145 W 200 N STE 600, Provo, UT 84601

Secondary Practice Locations 3

Location 16550 S Millrock Dr Ste 250Salt Lake City, UT 84121-2331 · Phone (801) 821-2781 · Fax (801) 901-1194
Location 23300 N Triumph Blvd Ste 500Lehi, UT 84043-6475 · Phone (801) 821-2781 · Fax (801) 901-1194
Location 32132 N Robins Dr Ste 300Layton, UT 84041-7077 · Phone (801) 821-2781 · Fax (801) 901-1194

Accepted 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

Jeremy Ratliff Aprn 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 ID3476816729
PECOS Enrollment IDI20180418002935
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.

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
93 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84601 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

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

Nurse Practitioner (Psychiatric/Mental Health)
145 W 200 N STE 600
PROVO, UT 84601

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 Jeremy Ratliff's NPI number?

The NPI number for Jeremy Ratliff is 1295255701. It was assigned to this individual provider in the NPPES registry on June 26, 2017.

Where is Jeremy Ratliff located?

Jeremy Ratliff practices at 145 W 200 N Ste 600, Provo, UT 84601. The listed phone number is (801) 821-2781.

What is Jeremy Ratliff's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jeremy Ratliff enrolled in Medicare?

Yes. Jeremy Ratliff 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 Jeremy Ratliff accept?

Health plans from BridgeSpan Health Company, Providence Health Plan, Regence BlueCross BlueShield of Utah and Select Health list Jeremy Ratliff 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 Jeremy Ratliff was last updated on December 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.