1. Home
  2. Directory
  3. Utah
  4. Providence
  5. Anesthesiology
  6. NPI Profile

JACOB C WORLEY DO
NPI 1821676099
Anesthesiology in Providence, UT

Active since March 30, 2021PECOS EnrolledAccepts Medicare Assignment
560 W 465 N STE 604, PROVIDENCE, UT 84332(435) 994-2535 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 23, 2025, Mar 30, 2021 (2 updates tracked since 2021).

About Jacob C Worley Do NPPES

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

JACOB C WORLEY DO (NPI 1821676099) is an individual anesthesiology provider in Providence, Utah, licensed in Utah (14209819-1204) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Logan Regional Hospital, and is a graduate of Kansas City University Of Med & Biosciences, College Of Osteo Med (2021).

NPPES Registry Identity

NPI1821676099
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameJACOB C WORLEYCredential: DO
Location Address560 W 465 N STE 604Providence, UT 84332-8006
Mailing Address560 W 465 N Ste 604Providence, UT 84332-8006 · (435) 753-1600 · Fax (435) 753-9521
Phone(435) 994-2535
Sole ProprietorNo
Medical School CMSKansas City University Of Med & Biosciences, College Of Osteo MedGraduated 2021
Enumeration DateMarch 30, 2021
Last NPPES UpdateJune 17, 20262 updates tracked since enumeration
NPPES CertifiedJune 17, 2026
✔ NPI 1821676099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in UT · 14209819-1204
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.
560 W 465 N STE 604, Providence, UT 84332
Open in Google Maps ↗

Other Identifiers 1

Medicaid1821676099UT

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

Jacob C Worley Do 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 ID8426451907
PECOS Enrollment IDI20250707001067
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 Jacob Worley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Interwest Anesthesia Associates LLC
Same address
Anesthesiology
560 W 465 N STE 604
Providence, UT 84332
  • Reassigned Medicare billing, Utah enrollment
  • 29 clinicians in this Medicare group
NPI 1841214483 (435) 753-1600

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 2

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

Logan Regional Hospital

Acute Care Hospitals · Logan, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460015
Location1400 North 500 EastLogan, UT 84341 · Cache County
Emergency services Birthing friendly

Cache Valley Hospital

Acute Care Hospitals · North Logan, UT
OwnershipProprietary
CMS Certification Number460054
Location2380 North 400 EastNorth Logan, UT 84341 · Cache County
Emergency services Birthing friendly

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.

CODY BRAD MICKELSEN MD
Anesthesiology
560 W 465 N STE 604
PROVIDENCE, UT 84332
Cache County (435) 753-1600
JON R ROBISON M.D.
Anesthesiology
560 W 465 N STE 604
PROVIDENCE, UT 84332
Cache County (435) 753-1600
DR. MICHAEL JAMES GROVER M.D.
Anesthesiology
560 W 465 N STE 604
PROVIDENCE, UT 84332
Cache County (435) 753-1600
JOSHUA TYLER CHRISTIANSEN M.D.
Anesthesiology
560 W 465 N STE 604
PROVIDENCE, UT 84332
Cache County (435) 753-1600
JACOB ROBINSON
Anesthesiology
560 W 465 N STE 604
PROVIDENCE, UT 84332
Cache County (435) 753-1600
GREGORY J ALLRED DO
Anesthesiology
560 W 465 N STE 604
PROVIDENCE, UT 84332
Cache County (435) 753-1600
STEVEN JOHN WEBER DO
Anesthesiology
560 W 465 N STE 604
PROVIDENCE, UT 84332
Cache County (435) 753-1600
SHAWN M NELSON MD
Anesthesiology
560 W 465 N STE 604
PROVIDENCE, UT 84332
Cache County (435) 753-1600

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 Jacob Worley's NPI number?

The NPI number for Jacob Worley is 1821676099. It was assigned to this individual provider in the NPPES registry on March 30, 2021.

Where is Jacob Worley located?

Jacob Worley practices at 560 W 465 N Ste 604, Providence, UT 84332. The listed phone number is (435) 994-2535.

What is Jacob Worley's specialty?

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

Is Jacob Worley enrolled in Medicare?

Yes. Jacob Worley 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 Jacob Worley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Worley reassigns Medicare benefits to Interwest Anesthesia Associates LLC (Providence, 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 Jacob Worley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jacob Worley affiliated with any hospitals?

According to CMS data, Jacob Worley is affiliated with Logan Regional Hospital and Cache Valley Hospital.

When was this NPI record last updated?

The NPPES record for Jacob Worley was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.