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JORDAN DUTCH HALL
NPI 1366199978
Emergency Medicine in Provo, UT

Active since March 03, 2022PECOS Enrolled

NPPES record last updated: May 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 30, 2026, Mar 3, 2022 (2 updates tracked since 2022).

About Jordan Dutch Hall NPPES

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

JORDAN DUTCH HALL (NPI 1366199978) is an individual emergency medicine provider in Provo, Utah, licensed in Utah (14260323-1204) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366199978
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJORDAN DUTCH HALL
Location Address1034 N 500 WProvo, UT 84604-3337
Mailing Address1034 N 500 WProvo, UT 84604-3380
Phone(801) 357-7850
Sole ProprietorNo
Enumeration DateMarch 3, 2022
Last NPPES UpdateMay 30, 20262 updates tracked since enumeration
NPPES CertifiedMay 30, 2026
✔ NPI 1366199978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in UT · 14260323-1204
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1034 N 500 W, Provo, UT 84604
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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 Dutch Hall 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.

IHC HEALTH SERVICES INC
Radiology (Diagnostic Radiology)
1034 N 500 W
PROVO, UT 84604
Utah County (801) 357-4423
JAMES TYNAN DALY DO
Hospitalist
1034 N 500 W
PROVO, UT 84604
Utah County (801) 357-7291
ADAM R KROMMENHOEK MD
Emergency Medicine (Emergency Medical Services)
1034 N 500 W
PROVO, UT 84604
Utah County (801) 373-7850
DR. CHRISTOPHER NATHAN JOHNSON MD
Emergency Medicine
1034 N 500 W
PROVO, UT 84604
Utah County (801) 357-7850
MARGARET MICHELE MAXFIELD CCC-SLP
Speech-Language Pathologist
1034 N 500 W
PROVO, UT 84604
Utah County (801) 357-7448
DARBY MELESSE HERRMANN OTR/L
Occupational Therapist
1034 N 500 W
PROVO, UT 84604
Utah County (801) 357-7850
MRS. HOLLY YORGASON DIETITIAN
Dietitian, Registered
1034 N 500 W
PROVO, UT 84604
Utah County No phone listed
BRENT L GRIFFIN MD
Psychiatry & Neurology (Psychiatry)
1034 N 500 W
PROVO, UT 84604
Utah County (801) 357-4542

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 Hall's NPI number?

The NPI number for Jordan Hall is 1366199978. It was assigned to this individual provider in the NPPES registry on March 3, 2022.

Where is Jordan Hall located?

Jordan Hall practices at 1034 N 500 W, Provo, UT 84604. The listed phone number is (801) 357-7850.

What is Jordan Hall's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Jordan Hall enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jordan Hall was last updated on May 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.