JONI HAMBLIN FNP-BC
NPI 1376007237
Nurse Practitioner - Family in Ogden, UT

Active since January 24, 2019PECOS EnrolledAccepts Medicare Assignment
66.95/100
CMS Quality Rating
237 26TH ST, OGDEN, UT 84401(801) 625-3643(801) 778-6814 Get Directions Write a Review

NPPES record last updated: March 5, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 5, 2019, Jan 24, 2019 (2 updates tracked since 2019).

About Joni Hamblin Fnp-bc NPPES

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

JONI HAMBLIN FNP-BC (NPI 1376007237) is an individual family provider in Ogden, Utah, licensed in Utah (50666444405) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS, is affiliated with Mckay-dee Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1376007237
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJONI HAMBLINCredential: FNP-BC
Location Address237 26TH STOgden, UT 84401-3105
Mailing Address237 26th StOgden, UT 84401-3105 · (801) 625-3643 · Fax (801) 778-6814
Fax(801) 778-6814
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJanuary 24, 2019
Last NPPES UpdateMarch 5, 20192 updates tracked since enumeration
NPI 1376007237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in UT · 50666444405
237 26TH ST, Ogden, UT 84401

Other Identifiers 1

Medicaid1043243140UT

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 and accepts Medicare assignment

Joni Hamblin Fnp-bc 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 ID9931441888
PECOS Enrollment IDI20200107001649
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 5

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.
83 services40 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
37 services37 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
20 services15 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
15 services13 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mckay-Dee Hospital

Acute Care Hospitals · Ogden, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460004
Location4401 Harrison BoulevardOgden, UT 84403 · Weber County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84401 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

66.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality33.73
Improvement Activities40
Cost44.86

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.

Registered Nurse (Psychiatric/Mental Health, Adult)
237 26TH ST
OGDEN, UT 84401
Counselor (Professional)
237 26TH ST
OGDEN, UT 84401
Case Manager/Care Coordinator
237 26TH ST
OGDEN, UT 84401
Case Manager/Care Coordinator
237 26TH ST
OGDEN, UT 84401
Registered Nurse (Psychiatric/Mental Health)
237 26TH ST
OGDEN, UT 84401
Community Health Worker
237 26TH ST
OGDEN, UT 84401
Case Management
237 26TH ST
OGDEN, UT 84401
Counselor (Professional)
237 26TH ST
OGDEN, UT 84401

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 Joni Hamblin's NPI number?

The NPI number for Joni Hamblin is 1376007237. It was assigned to this individual provider in the NPPES registry on January 24, 2019.

Where is Joni Hamblin located?

Joni Hamblin practices at 237 26th St, Ogden, UT 84401. The listed phone number is (801) 625-3643.

What is Joni Hamblin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Joni Hamblin enrolled in Medicare?

Yes. Joni Hamblin 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 Joni Hamblin accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Joni Hamblin 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.

Is Joni Hamblin affiliated with any hospitals?

According to CMS data, Joni Hamblin is affiliated with Mckay-Dee Hospital.

When was this NPI record last updated?

The NPPES record for Joni Hamblin was last updated on March 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.