DR. JACOB DOUGLAS ANDERSON DNP
NPI 1316329220
Nurse Practitioner - Family in Logan, UT
About Dr. Jacob Douglas Anderson Dnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JACOB DOUGLAS ANDERSON DNP (NPI 1316329220) is an individual family provider in Logan, Utah, licensed in Utah (7942683-4405) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, maintains 8 additional practice locations, and is a graduate of University Of Utah School Of Medicine (2015).
NPPES Registry Identity
Specialties & Licenses 4
Secondary Practice Locations 8
Other Identifiers 2
Accepted 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
Dr. Jacob Douglas Anderson Dnp 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.
Medicare Billing Reassignments
3Medicare enrollment records show Jacob Anderson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Midvale, UT 84047
- Reassigned Medicare billing, Utah enrollment
- 75 clinicians in this Medicare group
Idaho Falls, ID 83401
- Reassigned Medicare billing, Idaho, Utah and Wyoming enrollments
- 23 clinicians in this Medicare group
Long Beach, CA 90802
- Reassigned Medicare billing, Idaho enrollment
- 71 clinicians in this Medicare group
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 3
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.
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.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Anderson's NPI number?
The NPI number for Jacob Anderson is 1316329220. It was assigned to this individual provider in the NPPES registry on June 26, 2015.
Where is Jacob Anderson located?
Jacob Anderson practices at 630 E 1400 N Ste 150, Logan, UT 84341. The listed phone number is (435) 915-4465.
What is Jacob Anderson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jacob Anderson enrolled in Medicare?
Yes. Jacob Anderson 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 Anderson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Anderson reassigns Medicare benefits to 3 organizations: Molina Healthcare Of Utah Inc (Midvale, UT), Sterling Provider Group (Idaho Falls, ID) and Molina Care Connections, LLC. (Long Beach, CA). 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 Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacob Anderson accept?
Health plans from Blue Cross Blue Shield of Wyoming and Providence Health Plan list Jacob Anderson 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 Jacob Anderson was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Jacob Douglas Anderson, DNP · NPI 1316329220
Family physician in Logan, Utah. Individual provider, active in the CMS NPPES registry since June 26, 2015.
## Identity
- **NPI:** 1316329220 (Entity type: Individual)
- **Enumerated:** June 26, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 7942683-4405 (Utah)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 630 E 1400 N STE 150, Logan, UT 84341-2549
- **Phone:** (435) 915-4465 · **Fax:** (435) 787-8509
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Molina Healthcare Of Utah Inc (NPI 1619486396, Midvale, UT); Sterling Provider Group (NPI 1205300407, Idaho Falls, ID); Molina Care Connections, LLC. (NPI 1407243223, Long Beach, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Utah School Of Medicine, class of 2015
## Record status
- **NPPES last updated:** June 15, 2026
- **Other identifiers:** Other 1205300407 (ID); Other 833011825 (ID)
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Source: [NPI Profile](https://npiprofile.com/npi/1316329220) · Data from the CMS NPPES public registry.