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DR. JASON JOHN POULSEN M.D.
NPI 1659554301
Anesthesiology in Murray, UT

Active since December 17, 2007PECOS EnrolledAccepts Medicare Assignment
79.72/100
CMS Quality Rating
5121 S COTTONWOOD STREET, INTERMOUNTAIN MEDICAL CENTER, MURRAY, UT 84157(801) 507-5248 Get Directions Write a Review

NPPES record last updated: October 15, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Jason John Poulsen M.d. NPPES

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

DR. JASON JOHN POULSEN M.D. (NPI 1659554301) is an individual anesthesiology provider in Murray, Utah, licensed in Utah (6019968-1205) and active in the NPI registry since December 2007. He is enrolled in Medicare PECOS, is affiliated with Riverton Hospital, and is a graduate of University Of Utah School Of Medicine (2004).

NPPES Registry Identity

NPI1659554301
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameDR. JASON JOHN POULSENCredential: M.D.
Location Address5121 S COTTONWOOD STREET, INTERMOUNTAIN MEDICAL CENTERMurray, UT 84157
Mailing Address3340 North Center St, #800Lehi, UT 84043-7406 · (801) 990-1911
Phone(801) 507-5248
Sole ProprietorYes
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2004
Enumeration DateDecember 17, 2007
Last NPPES UpdateOctober 15, 2012
✔ NPI 1659554301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in UT · 6019968-1205
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
5121 S COTTONWOOD STREET, Murray, UT 84157
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jason John Poulsen 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 ID7315016698
PECOS Enrollment IDI20080513000745
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 Reassignment

Medicare enrollment records show Jason Poulsen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mountain West Anesthesia LLC
16 mi
Anesthesiology
3300 N TRIUMPH BLVD STE G50
Lehi, UT 84043
  • Reassigned Medicare billing, Utah enrollment
  • 355 clinicians in this Medicare group
NPI 1558391763 (801) 990-1911

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

Hospital Affiliations CMS Care Compare

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

Riverton Hospital

Acute Care Hospitals · Riverton, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460058
Location3741 West 12600 SouthRiverton, UT 84065 · Salt Lake County
Emergency services Birthing friendly

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.

79.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.84
Improvement Activities40
Cost63.86

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.

JUSTIN M ADEN MD
Anesthesiology
5121 S COTTONWOOD STREET, INTERMOUNTAIN MEDICAL CENTER
MURRAY, UT 84157
Salt Lake County (801) 507-5248
ETHAN K FISHER MD
Anesthesiology
5121 S COTTONWOOD STREET, INTERMOUNTAIN MEDICAL CENTER
MURRAY, UT 84157
Salt Lake County (801) 507-5248
DR. JAYAPRAKASH MOODALAGIRIAPPA MD
Anesthesiology
5121 S COTTONWOOD STREET, INTERMOUNTAIN MEDICAL CENTER
MURRAY, UT 84157
Salt Lake County (801) 507-5248
SCOTT NATHAN HURST M.D.
Anesthesiology
5121 S COTTONWOOD STREET, INTERMOUNTAIN MEDICAL CENTER
MURRAY, UT 84157
Salt Lake County (801) 507-5248
DR. BRIAN PAUL MATTHEWS M.D.
Anesthesiology
5121 S COTTONWOOD STREET, INTERMOUNTAIN MEDICAL CENTER
MURRAY, UT 84157
Salt Lake County (801) 507-5248
SCOTT LYLES PROVOST MD
Anesthesiology
5121 S COTTONWOOD STREET, INTERMOUNTAIN MEDICAL CENTER
MURRAY, UT 84157
Salt Lake County (801) 507-5248
DR. KEVIN MICHAEL CUMMISFORD M.D.
Anesthesiology
5121 S COTTONWOOD STREET, INTERMOUNTAIN MEDICAL CENTER
MURRAY, UT 84157
Salt Lake County (801) 507-5248
RYAN WILLIAM NELSON MD
Anesthesiology
5121 S COTTONWOOD STREET, INTERMOUNTAIN MEDICAL CENTER
MURRAY, UT 84157
Salt Lake County (801) 507-5248

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 Jason Poulsen's NPI number?

The NPI number for Jason Poulsen is 1659554301. It was assigned to this individual provider in the NPPES registry on December 17, 2007.

Where is Jason Poulsen located?

Jason Poulsen practices at 5121 S Cottonwood Street Intermountain Medical Center, Murray, UT 84157. The listed phone number is (801) 507-5248.

What is Jason Poulsen's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Jason Poulsen enrolled in Medicare?

Yes. Jason Poulsen 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.

Which organization bills Medicare for Jason Poulsen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jason Poulsen reassigns Medicare benefits to Mountain West Anesthesia LLC (Lehi, UT). The 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 Jason Poulsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jason Poulsen accept?

Health plans from Select Health list Jason Poulsen 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 Jason Poulsen affiliated with any hospitals?

According to CMS data, Jason Poulsen is affiliated with Riverton Hospital.

When was this NPI record last updated?

The NPPES record for Jason Poulsen was last updated on October 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.