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JORDAN NELSON MD
NPI 1316649056
Family Medicine in Provo, UT

Active since March 20, 2023PECOS Enrolled

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 4, 2026, Apr 20, 2026, May 12, 2025 and 1 more (4 updates tracked since 2023).

About Jordan Nelson Md NPPES

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

JORDAN NELSON MD (NPI 1316649056) is an individual family medicine provider in Provo, Utah, licensed in Utah (14155582-1205) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Provo.

NPPES Registry Identity

NPI1316649056
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJORDAN NELSONCredential: MD
Location Address475 W 940 NProvo, UT 84604-3301
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128
Phone(801) 357-7940
Sole ProprietorNo
Enumeration DateMarch 20, 2023
Last NPPES UpdateMay 4, 20264 updates tracked since enumeration
NPPES CertifiedMay 4, 2026
✔ NPI 1316649056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in UT · 14155582-1205
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
475 W 940 N, Provo, UT 84604
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Secondary Practice Location 1

Location 1395 W Cougar Blvd Ste 205Provo, UT 84604-3328 · Phone (801) 357-1770

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jordan Nelson Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84604 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 20

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

MR. TYLER JASON FIELDSTED DO
Family Medicine
475 W 940 N
PROVO, UT 84604
Utah County (801) 357-7926
KARLY GARDNER DO
Family Medicine
475 W 940 N
PROVO, UT 84604
Utah County (801) 357-7930
TYSON DEKORSE M.D.
Student in an Organized Health Care Education/Training Program
475 W 940 N
PROVO, UT 84604
Utah County (801) 357-7940
SAMANTHA BENGTZEN DERZON MD
Family Medicine
475 W 940 N
PROVO, UT 84604
Utah County (801) 357-7940
EASTON E WEAVER
Student in an Organized Health Care Education/Training Program
475 W 940 N
PROVO, UT 84604
Utah County (801) 357-7930
MARK CONLEY DO
Student in an Organized Health Care Education/Training Program
475 W 940 N
PROVO, UT 84604
Utah County (801) 357-7930
DR. JASON ROBERT HERMAN D.O.
Family Medicine
475 W 940 N
PROVO, UT 84604
Utah County (801) 357-7930
MARIANGELA SANTIAGO PARRA DO
Student in an Organized Health Care Education/Training Program
475 W 940 N
PROVO, UT 84604
Utah County (801) 357-7930

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 Jordan Nelson's NPI number?

The NPI number for Jordan Nelson is 1316649056. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Where is Jordan Nelson located?

Jordan Nelson practices at 475 W 940 N, Provo, UT 84604. The listed phone number is (801) 357-7940.

What is Jordan Nelson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jordan Nelson enrolled in Medicare?

Yes. Jordan Nelson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jordan Nelson was last updated on May 4, 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.