JACE DAKOTA JOHNNY DNP, APRN, AGACNP-BC
NPI 1558920835
Nurse Practitioner - Acute Care in Salt Lake City, UT
About Jace Dakota Johnny Dnp, Aprn, Agacnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACE DAKOTA JOHNNY DNP, APRN, AGACNP-BC (NPI 1558920835) is an individual acute care provider in Salt Lake City, Utah, licensed in Utah (9106759-4405) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of University Of Utah School Of Medicine (2019).
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
Jace Dakota Johnny Dnp, Aprn, Agacnp-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.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Utah Hospitals And Clinics
Acute Care Hospitals · Salt Lake City, UTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84112 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
SALT LAKE CITY, UT 84112
SALT LAKE CITY, UT 84112
SALT LAKE CITY, UT 84112
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 Jace Johnny's NPI number?
The NPI number for Jace Johnny is 1558920835. It was assigned to this individual provider in the NPPES registry on June 10, 2019.
Where is Jace Johnny located?
Jace Johnny practices at 2000 Circle Of Hope Dr, Salt Lake City, UT 84112. The listed phone number is (801) 869-0876.
What is Jace Johnny's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Jace Johnny enrolled in Medicare?
Yes. Jace Johnny 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 Jace Johnny accept?
Health plans from Molina Healthcare and Select Health list Jace Johnny 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 Jace Johnny affiliated with any hospitals?
According to CMS data, Jace Johnny is affiliated with University Of Utah Hospitals And Clinics.
When was this NPI record last updated?
The NPPES record for Jace Johnny was last updated on October 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Jace Dakota Johnny, DNP, APRN, AGACNP-BC · NPI 1558920835
Acute Care physician in Salt Lake City, Utah. Individual provider, active in the CMS NPPES registry since June 10, 2019.
## Identity
- **NPI:** 1558920835 (Entity type: Individual)
- **Enumerated:** June 10, 2019
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 9106759-4405 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 2000 CIRCLE OF HOPE DR, Salt Lake City, UT 84112-5550
- **Phone:** (801) 869-0876
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University Of Utah School Of Medicine, class of 2019
## Record status
- **NPPES last updated:** October 21, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1558920835) · Data from the CMS NPPES public registry.