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PEGUY JACQUES
NPI 1578073250
Nurse Practitioner - Family in Spanish Fork, UT

Active since October 06, 2017PECOS Enrolled
2008 E CHARIOT LN, SPANISH FORK, UT 84660(801) 623-3346 Get Directions Write a Review

NPPES record last updated: July 14, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 14, 2023, Apr 6, 2023 (2 updates tracked since 2023).

About Peguy Jacques NPPES

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

PEGUY JACQUES (NPI 1578073250) is an individual family provider in Spanish Fork, Utah, licensed in Utah (9571169-4405) and active in the NPI registry since October 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1578073250
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NamePEGUY JACQUES
Location Address2008 E CHARIOT LNSpanish Fork, UT 84660-6284
Mailing Address2008 E Chariot LnSpanish Fork, UT 84660-6284 · (801) 623-3346
Phone(801) 623-3346
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 6, 2017
Last NPPES UpdateJuly 14, 20232 updates tracked since enumeration
NPPES CertifiedJuly 14, 2023
✔ NPI 1578073250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in UT · 9571169-4405
Also ListedNurse PractitionerTaxonomy 363L00000X · License 9571169-4405 (UT)
2008 E CHARIOT LN, Spanish Fork, UT 84660
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peguy Jacques is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID547626434
PECOS Enrollment IDI20251114002885
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Peguy Jacques reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ihc Health Services Inc
1.2 mi
Urgent Care
819 E MARKET PLACE DR
Spanish Fork, UT 84660
  • Reassigned Medicare billing, Utah enrollment
  • 1,729 clinicians in this Medicare group
NPI 1730215518 (385) 344-6600
University Of Utah Adult Services
32 mi
Orthopaedic Surgery
9385 S SNOWBIRD CENTER DR
Sandy, UT 84092
  • Reassigned Medicare billing, Utah enrollment
  • 2,620 clinicians in this Medicare group
NPI 1851904247 (801) 587-7109
Woundtech Of Utah, Inc.
48 mi
Infectious Disease
517 D ST
Salt Lake City, UT 84103
  • Reassigned Medicare billing, Utah enrollment
  • 12 clinicians in this Medicare group
NPI 1750922415 (954) 923-7440
Signify Health, LLC
959 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Arizona and Utah enrollments
  • 556 clinicians in this Medicare group
NPI 1689158487 (469) 466-7007
Signify Health Medical Associates, PLLC
959 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, West Virginia enrollment
  • 228 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84660 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 Peguy Jacques's NPI number?

The NPI number for Peguy Jacques is 1578073250. It was assigned to this individual provider in the NPPES registry on October 6, 2017.

Where is Peguy Jacques located?

Peguy Jacques practices at 2008 E Chariot Ln, Spanish Fork, UT 84660. The listed phone number is (801) 623-3346.

What is Peguy Jacques's specialty?

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

Is Peguy Jacques enrolled in Medicare?

Yes. Peguy Jacques is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Peguy Jacques's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peguy Jacques reassigns Medicare benefits to 5 organizations: Ihc Health Services Inc (Spanish Fork, UT), University Of Utah Adult Services (Sandy, UT), Woundtech Of Utah, Inc. (Salt Lake City, UT), Signify Health, LLC (Dallas, TX) and Signify Health Medical Associates, PLLC (Dallas, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Peguy Jacques's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Peguy Jacques accept?

Health plans from CareSource and CareSource (Common Ground Healthcare) list Peguy Jacques 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 Peguy Jacques was last updated on July 14, 2023. 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.