JACOB CLARK APRN, PMHNP-BC
NPI 1487009957
Nurse Practitioner - Psychiatric/Mental Health in Draper, UT
About Jacob Clark Aprn, Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB CLARK APRN, PMHNP-BC (NPI 1487009957) is an individual psychiatric/mental health provider in Draper, Utah, licensed in Utah (8480668-4405) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
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
Jacob Clark Aprn, Pmhnp-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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84020 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DRAPER, UT 84020
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 Jacob Clark's NPI number?
The NPI number for Jacob Clark is 1487009957. It was assigned to this individual provider in the NPPES registry on May 3, 2016.
Where is Jacob Clark located?
Jacob Clark practices at 138 E 12300 S Unit 860, Draper, UT 84020. The listed phone number is (801) 449-1429.
What is Jacob Clark's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Jacob Clark enrolled in Medicare?
Yes. Jacob Clark 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 Jacob Clark accept?
Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Jacob Clark 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 Jacob Clark was last updated on October 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
