JUSTIN INGRAHAM
NPI 1437954260
Nurse Practitioner - Family in Magna, UT

Active since February 17, 2025PECOS EnrolledAccepts Medicare Assignment
3665 S 8400 W, MAGNA, UT 84044(801) 250-9638 Get Directions Write a Review

NPPES record last updated: February 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Justin Ingraham NPPES

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

JUSTIN INGRAHAM (NPI 1437954260) is an individual family provider in Magna, Utah, licensed in Utah (12849022-4405) and active in the NPI registry since February 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1437954260
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJUSTIN INGRAHAM
Location Address3665 S 8400 WMagna, UT 84044-4907
Mailing Address3761 W Angelica WaySouth Jordan, UT 84095-5116 · (801) 641-0289
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 17, 2025
NPPES CertifiedFebruary 16, 2025
NPI 1437954260 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 · 12849022-4405
3665 S 8400 W, Magna, UT 84044

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Justin Ingraham 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 ID2567974504
PECOS Enrollment IDI20250625000849
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 84044 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.

Physician Assistant
3665 S 8400 W
MAGNA, UT 84044
Physician Assistant
3665 S 8400 W, SUITE 110
MAGNA, UT 84044
Optometrist
3665 S 8400 W, SUITE 100
MAGNA, UT 84044
Optometrist
3665 S 8400 W, STE 100
MAGNA, UT 84044
Nurse Practitioner (Acute Care)
3665 S 8400 W
MAGNA, UT 84044
Physical Therapist
3665 S 8400 W, STE 210
MAGNA, UT 84044
Physician Assistant
3665 S 8400 W
MAGNA, UT 84044
Optometrist
3665 S 8400 W, SUITE 100
MAGNA, UT 84044

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 Justin Ingraham's NPI number?

The NPI number for Justin Ingraham is 1437954260. It was assigned to this individual provider in the NPPES registry on February 17, 2025.

Where is Justin Ingraham located?

Justin Ingraham practices at 3665 S 8400 W, Magna, UT 84044. The listed phone number is (801) 250-9638.

What is Justin Ingraham's specialty?

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

Is Justin Ingraham enrolled in Medicare?

Yes. Justin Ingraham 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 Justin Ingraham accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Justin Ingraham 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 Justin Ingraham was last updated on February 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.