LU ANN JACOBS-PETERSON APRN FNP
NPI 1396918462
Nurse Practitioner in Tooele, UT

Q: What is Lu Ann Jacobs-peterson's NPI number?

The NPI number for Lu Ann Jacobs-peterson is 1396918462. It was assigned to this individual provider in the NPPES registry on April 9, 2008.

Q: What is Lu Ann Jacobs-peterson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since April 09, 2008PECOS Enrolled

2376 N 400 E STE 205, TOOELE, UT 84074(435) 882-8111(435) 882-2111 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 23, 2022, May 22, 2022, Jul 6, 2021 (3 updates tracked since 2021).

On this page

About Lu Ann Jacobs-peterson Aprn Fnp NPPES

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

LU ANN JACOBS-PETERSON APRN FNP (NPI 1396918462) is an individual nurse practitioner in Tooele, Utah, licensed in Utah (219855-4405) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS and maintains a secondary practice location in Tooele.

NPPES Registry Identity

NPI1396918462

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameLU ANN JACOBS-PETERSONCredential: APRN FNP

Location Address2376 N 400 E STE 205Tooele, UT 84074-3413

Mailing Address14540 S Majestic Oaks LnHerriman, UT 84096-3645 · (801) 232-1998

Phone(435) 882-8111

Fax(435) 882-2111

Sole ProprietorNo

Enumeration DateApril 9, 2008

Last NPPES UpdateApril 25, 20253 updates tracked since enumeration

NPPES CertifiedApril 17, 2025

✔ NPI 1396918462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in UT · 219855-4405

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 219855-4405 (UT)

2376 N 400 E STE 205, Tooele, UT 84074

Open in Google Maps ↗

Secondary Practice Location 1

Location 1Harris Village Clinic, 251 N 1st StTooele, UT 84074 · Phone (435) 228-5151 ext. 904

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Select Health.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)

Lu Ann Jacobs-peterson Aprn Fnp 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.

Areas of Expertise CMS Part B claims

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84074 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.

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 Lu Ann Jacobs-peterson's NPI number?

The NPI number for Lu Ann Jacobs-peterson is 1396918462. It was assigned to this individual provider in the NPPES registry on April 9, 2008.

Where is Lu Ann Jacobs-peterson located?

Lu Ann Jacobs-peterson practices at 2376 N 400 E Ste 205, Tooele, UT 84074. The listed phone number is (435) 882-8111.

What is Lu Ann Jacobs-peterson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Lu Ann Jacobs-peterson enrolled in Medicare?

Yes. Lu Ann Jacobs-peterson is registered in the Medicare PECOS enrollment system.

What insurance does Lu Ann Jacobs-peterson accept?

Health plans from Molina Healthcare and Select Health list Lu Ann Jacobs-peterson 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 Lu Ann Jacobs-peterson was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.