JARED ALAN JOHNSTUN M.D.
NPI 1487944096
Internal Medicine - Critical Care Medicine in Midvale, UT

Q: What is Jared Johnstun's NPI number?

The NPI number for Jared Johnstun is 1487944096. It was assigned to this individual provider in the NPPES registry on April 15, 2011.

Q: What is Jared Johnstun's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Q: When was this NPI record last updated?

The NPPES record for Jared Johnstun was last updated on August 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since April 15, 2011PECOS EnrolledAccepts Medicare Assignment

623 E FORT UNION BLVD STE 105, MIDVALE, UT 84047(385) 412-1660 Get Directions Write a Review

NPPES record last updated: August 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 22, 2024, Sep 4, 2023, Oct 4, 2022 and 2 more (5 updates tracked since 2017).

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About Jared Alan Johnstun M.d. NPPES

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

JARED ALAN JOHNSTUN M.D. (NPI 1487944096) is an individual critical care medicine provider in Midvale, Utah, licensed in Illinois (036.160773) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with Uw Health, and maintains a secondary practice location in Rockford.

NPPES Registry Identity

NPI1487944096

Entity TypeIndividualMale

Primary Taxonomy207RC0200X

Provider Legal NameJARED ALAN JOHNSTUNCredential: M.D.

Location Address623 E FORT UNION BLVD STE 105Midvale, UT 84047-5529

Mailing Address623 E Fort Union Blvd Ste 105Midvale, UT 84047-5529 · (385) 412-1660

Phone(385) 412-1660

Sole ProprietorYes

Medical School CMSDrexel University College Of MedicineGraduated 2010

Enumeration DateApril 15, 2011

Last NPPES UpdateAugust 22, 20245 updates tracked since enumeration

NPPES CertifiedAugust 22, 2024

✔ NPI 1487944096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RC0200X

Licenses✔ Licensed in IL · 036.160773✔ Licensed in UT · 8134352-1205

Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedInternal MedicineTaxonomy 207R00000X · License 8134352-1205 (UT)

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 036.160773 (IL)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

623 E FORT UNION BLVD STE 105, Midvale, UT 84047

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Secondary Practice Location 1

Location 11401 E State StRockford, IL 61104-2298 · Phone (779) 696-4400

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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

Jared Alan Johnstun M.d. 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 ID7113165655

PECOS Enrollment IDI20130523000079, I20230111000147

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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

168 services97 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

39 services27 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

36 services28 patients

Critical care, each additional 30 minutes 99292

Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.

25 services19 patients

Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556

This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.

16 services16 patients

Hospital Affiliations CMS Care Compare

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

Uw Health

Acute Care Hospitals · Rockford, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140228

Location1401 East State StreetRockford, IL 61104 · Winnebago County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84047 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

$125.70 typical visit price

range $54.34 – $166.03

Typical copayment $31.42 (range $13.58 – $41.50)

Most-billed visit code 99204

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 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARLEY ANN FLORENCE APRN, AGPCNP-C

Nurse Practitioner