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JESSICA HARLAND CARLISLE NP
NPI 1851017446
Nurse Practitioner in Salt Lake City, UT

Active since October 14, 2022PECOS EnrolledAccepts Medicare Assignment
36 S STATE ST FL 22, SALT LAKE CITY, UT 84111(801) 703-6721 Get Directions Write a Review

NPPES record last updated: May 28, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 28, 2023, Oct 14, 2022 (2 updates tracked since 2022).

About Jessica Harland Carlisle Np NPPES

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

JESSICA HARLAND CARLISLE NP (NPI 1851017446) is an individual nurse practitioner in Salt Lake City, Utah, licensed in Utah (3214414405) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS, is affiliated with Lds Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1851017446
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJESSICA HARLAND CARLISLECredential: NP
Location Address36 S STATE ST FL 22Salt Lake City, UT 84111-1470
Mailing Address5171 S Cottonwood St Ste 610Salt Lake City, UT 84107-5741 · (801) 507-3630
Phone(801) 703-6721
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateOctober 14, 2022
Last NPPES UpdateMay 28, 20232 updates tracked since enumeration
NPPES CertifiedApril 18, 2023
✔ NPI 1851017446 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 · 3214414405
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.
36 S STATE ST FL 22, Salt Lake City, UT 84111
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Other Names 1

Former Name (1)Jessica Marie Condon

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jessica Harland Carlisle 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 ID4284091703
PECOS Enrollment IDI20230526001741
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
70 services37 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Lds Hospital

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460006
Location8th Avenue And C StreetSalt Lake City, UT 84143 · Salt Lake County
Emergency services Birthing friendly

Intermountain Medical Center

Acute Care Hospitals · Murray, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460010
Location5121 South Cottonwood StreetMurray, UT 84107 · Salt Lake County
Emergency services Birthing friendly

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84111 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 Jessica Carlisle's NPI number?

The NPI number for Jessica Carlisle is 1851017446. It was assigned to this individual provider in the NPPES registry on October 14, 2022. The provider is also known as Jessica Marie Condon.

Where is Jessica Carlisle located?

Jessica Carlisle practices at 36 S State St Fl 22, Salt Lake City, UT 84111. The listed phone number is (801) 703-6721.

What is Jessica Carlisle's specialty?

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

Is Jessica Carlisle enrolled in Medicare?

Yes. Jessica Carlisle 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 Jessica Carlisle accept?

Health plans from Select Health list Jessica Carlisle 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 Jessica Carlisle affiliated with any hospitals?

According to CMS data, Jessica Carlisle is affiliated with Lds Hospital, Intermountain Medical Center and Riverton Hospital.

When was this NPI record last updated?

The NPPES record for Jessica Carlisle was last updated on May 28, 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.