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

Q: 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.

Q: 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.

Q: 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 10 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 June 26, 2017PECOS Enrolled

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: October 25, 2026.

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

On this page

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 and maintains 3 additional practice locations.

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

Phone(801) 821-2781

Fax(801) 901-1194

Sole ProprietorNo

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

Open in Google Maps ↗

Secondary Practice Locations 3

Location 12132 N Robins Dr Ste 300Layton, UT 84041-7077 · Phone (801) 821-2781 · Fax (801) 901-1194

Location 26550 S Millrock Dr Ste 250Salt Lake City, UT 84121-2331 · Phone (801) 821-2781 · Fax (801) 901-1194

Location 33300 N Triumph Blvd Ste 500Lehi, UT 84043-6475 · Phone (801) 821-2781 · Fax (801) 901-1194

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeremy Ratliff Aprn Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Jeremy Ratliff reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Serenity Tms Centers LLC

13 mi

Psychiatry

3300 N TRIUMPH BLVD STE 500
Lehi, UT 84043

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

NPI 1710492095 (801) 821-2781

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

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.

JENNA HYER

Nurse Practitioner (Psychiatric/Mental Health)

145 W 200 N STE 600
PROVO, UT 84601

Utah County (801) 882-2237

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 enrollment system.

Which organization bills Medicare for Jeremy Ratliff's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeremy Ratliff reassigns Medicare benefits to Serenity Tms Centers LLC (Lehi, 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 Jeremy Ratliff's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeremy Ratliff accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans 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 10 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.