JOHNATHON IVAR PEDERSEN FNP-BC
NPI 1346056348
Nurse Practitioner - Family in Bountiful, UT
About Johnathon Ivar Pedersen Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHNATHON IVAR PEDERSEN FNP-BC (NPI 1346056348) is an individual family provider in Bountiful, Utah, licensed in Utah (10222638-4405) and active in the NPI registry since December 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
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 (PECOS)
Johnathon Ivar Pedersen Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84010 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 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BOUNTIFUL, UT 84010
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 Johnathon Pedersen's NPI number?
The NPI number for Johnathon Pedersen is 1346056348. It was assigned to this individual provider in the NPPES registry on December 5, 2024.
Where is Johnathon Pedersen located?
Johnathon Pedersen practices at 230 S Main St, Bountiful, UT 84010. The listed phone number is (801) 698-0544.
What is Johnathon Pedersen's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Johnathon Pedersen enrolled in Medicare?
Yes. Johnathon Pedersen is registered in the Medicare PECOS enrollment system.
What insurance does Johnathon Pedersen accept?
Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Johnathon Pedersen 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 Johnathon Pedersen was last updated on March 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Johnathon Ivar Pedersen, FNP-BC · NPI 1346056348
Family physician in Bountiful, Utah. Individual provider, active in the CMS NPPES registry since December 5, 2024.
## Identity
- **NPI:** 1346056348 (Entity type: Individual)
- **Enumerated:** December 5, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 10222638-4405 (Utah)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 230 S MAIN ST, Bountiful, UT 84010-6236
- **Phone:** (801) 698-0544
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** March 16, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1346056348) · Data from the CMS NPPES public registry.