JENNIFER MARIE BUSH NP
NPI 1760056089
Nurse Practitioner in Salt Lake City, UT

Active since May 20, 2021PECOS EnrolledAccepts Medicare Assignment
5770 S 1500 W, SALT LAKE CITY, UT 84123(801) 265-3412 Get Directions Write a Review

NPPES record last updated: November 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 24, 2025, May 20, 2021 (2 updates tracked since 2021).

About Jennifer Marie Bush Np NPPES

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

JENNIFER MARIE BUSH NP (NPI 1760056089) is an individual nurse practitioner in Salt Lake City, Utah, licensed in Utah (12033858-4405) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Midvale, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1760056089
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJENNIFER MARIE BUSHCredential: NP
Location Address5770 S 1500 WSalt Lake City, UT 84123-5216
Mailing AddressPo Box 30180Salt Lake City, UT 84130-0180
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 20, 2021
Last NPPES UpdateNovember 24, 20252 updates tracked since enumeration
NPPES CertifiedNovember 24, 2025
NPI 1760056089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in UT · 12033858-4405
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
5770 S 1500 W, Salt Lake City, UT 84123

Other Names 1

Former Name (1)Jennifer Marie Davidson

Secondary Practice Location 1

Location 1809 W Kenzie WayMidvale, UT 84047-4786 · Phone (770) 364-1205

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

Jennifer Marie Bush Np 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 ID4486141900
PECOS Enrollment IDI20251016004020
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84123 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.

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.

Nurse Practitioner (Psychiatric/Mental Health)
5770 S 1500 W
TAYLORSVILLE, UT 84123
Nurse Practitioner (Psychiatric/Mental Health)
5770 S 1500 W
TAYLORSVILLE, UT 84123
Social Worker (Clinical)
5770 S 1500 W
TAYLORSVILLE, UT 84123
Clinic/Center (Mental Health (Including Community Mental Health Center))
5770 S 1500 W
TAYLORSVILLE, UT 84123
Nurse Practitioner (Psychiatric/Mental Health)
5770 S 1500 W
TAYLORSVILLE, UT 84123
Social Worker (Clinical)
5770 S 1500 W
TAYLORSVILLE, UT 84123
Nurse Practitioner (Psychiatric/Mental Health)
5770 S 1500 W
SALT LAKE CITY, UT 84123
Social Worker (Clinical)
5770 S 1500 W
TAYLORSVILLE, UT 84123

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 Jennifer Bush's NPI number?

The NPI number for Jennifer Bush is 1760056089. It was assigned to this individual provider in the NPPES registry on May 20, 2021. The provider is also known as Jennifer Marie Davidson.

Where is Jennifer Bush located?

Jennifer Bush practices at 5770 S 1500 W, Salt Lake City, UT 84123. The listed phone number is (801) 265-3412.

What is Jennifer Bush's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jennifer Bush enrolled in Medicare?

Yes. Jennifer Bush 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 Jennifer Bush accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Jennifer Bush 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 Jennifer Bush was last updated on November 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.