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JEREMY E GILLEN
NPI 1710508429
Nurse Anesthetist, Certified Registered in Ogden, UT

Active since May 04, 2020Accepts Medicare Assignment

NPPES record last updated: August 19, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 19, 2022, May 4, 2020 (2 updates tracked since 2020).

About Jeremy E Gillen NPPES

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

JEREMY E GILLEN (NPI 1710508429) is an individual nurse anesthetist, certified registered in Ogden, Utah, licensed in Utah (9640421-4406) and active in the NPI registry since May 2020. He is affiliated with Ogden Regional Medical Center and is a graduate of Other (2022).

NPPES Registry Identity

NPI1710508429
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJEREMY E GILLEN
Location Address5475 S 500 EOgden, UT 84405-6905
Mailing Address2797 W 2100 NClinton, UT 84015-7693 · (801) 831-2387
Phone(801) 831-2387
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 4, 2020
Last NPPES UpdateAugust 19, 20222 updates tracked since enumeration
NPPES CertifiedAugust 19, 2022
✔ NPI 1710508429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in UT · 9640421-4406
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License RN9532686 (FL)
5475 S 500 E, Ogden, UT 84405
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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

Jeremy E Gillen 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 ID1456734698
PECOS Enrollment IDI20220819002273

Medicare Billing Reassignment

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

Nph Anesthesia Of Utah, LLC
0.6 mi
Anesthesiology
5475 S 500 E
Ogden, UT 84405
  • Reassigned Medicare billing, Utah enrollment
  • 164 clinicians in this Medicare group
NPI 1366077273 (469) 505-1609

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.

Ogden Regional Medical Center

Acute Care Hospitals · Ogden, UT
3/5 CMS rating
OwnershipProprietary
CMS Certification Number460005
Location5475 South 500 EastOgden, UT 84405 · Weber County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84405 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
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
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 20

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

TERRELL DANIEL REES PHARMD
Pharmacist (Critical Care)
5475 S 500 E
OGDEN, UT 84405
Weber County (801) 479-2171
JENNY L COLE CRNA
Nurse Anesthetist, Certified Registered
5475 S 500 E
OGDEN, UT 84405
Weber County (800) 880-3566
COLUMBIA OGDEN MEDICAL CENTER, INC.
Rehabilitation Unit
5475 S 500 E
OGDEN, UT 84405
Weber County (801) 479-2111
JOSEPH REYNA CRNA
Nurse Anesthetist, Certified Registered
5475 S 500 E
OGDEN, UT 84405
Weber County (801) 479-2468
CHARITY BUSHATI DNP
Nurse Practitioner (Neonatal)
5475 S 500 E
OGDEN, UT 84405
Weber County (801) 479-2111
PEGGY MARIA BODAMER RN
Registered Nurse (Neonatal Intensive Care)
5475 S 500 E
OGDEN, UT 84405
Weber County (801) 479-2560
MARCIANA MAE TWITCHELL PHARMD
Pharmacist
5475 S 500 E
OGDEN, UT 84405
Weber County (801) 479-2170
ALICIA RYLANDS RN
Registered Nurse
5475 S 500 E
OGDEN, UT 84405
Weber County (801) 479-2111

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 Jeremy Gillen's NPI number?

The NPI number for Jeremy Gillen is 1710508429. It was assigned to this individual provider in the NPPES registry on May 4, 2020.

Where is Jeremy Gillen located?

Jeremy Gillen practices at 5475 S 500 E, Ogden, UT 84405. The listed phone number is (801) 831-2387.

What is Jeremy Gillen's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Jeremy Gillen enrolled in Medicare?

Yes. Jeremy Gillen 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 Jeremy Gillen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeremy Gillen reassigns Medicare benefits to Nph Anesthesia Of Utah, LLC (Ogden, 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 Jeremy Gillen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jeremy Gillen affiliated with any hospitals?

According to CMS data, Jeremy Gillen is affiliated with Ogden Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Jeremy Gillen was last updated on August 19, 2022. 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.