1. Home
  2. Directory
  3. Utah
  4. Logan
  5. Nurse Practitioner
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JACOB DOUGLAS ANDERSON DNP
NPI 1316329220
Nurse Practitioner - Family in Logan, UT

Active since June 26, 2015PECOS EnrolledAccepts Medicare Assignment
630 E 1400 N STE 150, LOGAN, UT 84341(435) 915-4465(435) 787-8509 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1316329220
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDR. JACOB DOUGLAS ANDERSONCredential: DNP
Location Address630 E 1400 N STE 150Logan, UT 84341-2549
Mailing Address740 S Woodruff AveIdaho Falls, ID 83401-5285 · (208) 542-9111 · Fax (208) 542-9114
Phone(435) 915-4465
Fax(435) 787-8509
Sole ProprietorYes
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2015
Enumeration DateJune 26, 2015
Last NPPES UpdateJune 15, 2026
NPPES CertifiedJune 15, 2026
✔ NPI 1316329220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in UT · 7942683-4405✔ Licensed in ID · NP1718A
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
Also ListedClinic/Center · Occupational MedicineTaxonomy 261QX0100X
630 E 1400 N STE 150, Logan, UT 84341
Open in Google Maps ↗

Secondary Practice Locations 8

Location 1740 S Woodruff AveIdaho Falls, ID 83401-5285 · Phone (208) 542-9111 · Fax (208) 542-9114
Location 21404 Pomerelle Ave Ste A1Burley, ID 83318-2013 · Phone (208) 878-8783 · Fax (208) 878-8786
Location 31952 Harrison DriveEvanston, WY 82930-3241 · Phone (307) 288-0404 · Fax (307) 288-2810
Location 4507 S Main StHailey, ID 83333-8929 · Phone (208) 788-4122 · Fax (208) 788-6430
Location 52761 Commercial WayRock Springs, WY 82901-4753 · Phone (307) 382-3064 · Fax (307) 382-3303
Location 61201 S Main St Ste 110Logan, UT 84321-8504 · Phone (435) 787-8504 · Fax (435) 799-3664
Location 7700 S Highway 91Richmond, UT 84333-1209 · Phone (435) 294-2960 · Fax (435) 294-2960
Location 87017 S. Daisy LaneIdaho Falls, ID 83402-5753 · Phone (208) 534-5878 · Fax (208) 534-5716

Other Identifiers 2

Other1205300407ID · Npi
Other833011825ID · State

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, Providence Health Plan.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

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.

PECOS PAC ID9830403013
PECOS Enrollment IDI20150731015833, I20160628002780, I20200330002495
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 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.

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.
32 services31 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
19 services19 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
12 services11 patients

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 9

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

MR. TOD MICHAEL MORRISON FNP
Nurse Practitioner (Family)
630 E 1400 N STE 150
LOGAN, UT 84341
Cache County (435) 915-4465
STERLING MEDICAL LLC
Clinic/Center (Urgent Care)
630 E 1400 N STE 150
LOGAN, UT 84341
Cache County (435) 915-4465
DALE JAMES BINGHAM PA-C
Physician Assistant
630 E 1400 N STE 150
LOGAN, UT 84341
Cache County (435) 915-4465
MR. DEVON E. DAHLKE PA-C
Physician Assistant
630 E 1400 N STE 150
LOGAN, UT 84341
Cache County (435) 915-4465
ANDREA GAYLE SIMONS FNP
Nurse Practitioner (Family)
630 E 1400 N STE 150
LOGAN, UT 84341
Cache County (435) 915-4465
STERLING PROVIDER GROUP
Clinic/Center (Urgent Care)
630 E 1400 N STE 150
LOGAN, UT 84341
Cache County (435) 915-4465
TREVOR REED SMITH MD
Internal Medicine (Nephrology)
630 E 1400 N STE 150
LOGAN, UT 84341
Cache County (435) 932-2038
SKYLER TALBOT FNP
Clinic/Center (Urgent Care)
630 E 1400 N STE 150
LOGAN, UT 84341
Cache County (435) 915-4465

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.

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 55 days 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.