JESSICA HARLAND CARLISLE NP
NPI 1851017446
Nurse Practitioner in Salt Lake City, UT
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
Specialties & Licenses
Other Names 1
Accepted 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
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.
Medicare Billing Reassignment
Medicare enrollment records show Jessica Carlisle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Salt Lake City, UT 84111
- Reassigned Medicare billing, Utah enrollment
- 3,691 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, UTIntermountain Medical Center
Acute Care Hospitals · Murray, UTRiverton Hospital
Acute Care Hospitals · Riverton, UTPhysician 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.
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.
Which organization bills Medicare for Jessica Carlisle's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Carlisle reassigns Medicare benefits to Ihc Health Services Inc (Salt Lake City, 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 Jessica Carlisle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jessica Carlisle accept?
Health plans from Select Health and University of Utah Health Plans 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.
# Jessica Harland Carlisle, NP · NPI 1851017446
Nurse Practitioner physician in Salt Lake City, Utah. Individual provider, active in the CMS NPPES registry since October 14, 2022.
## Identity
- **NPI:** 1851017446 (Entity type: Individual)
- **Enumerated:** October 14, 2022
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 3214414405 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 36 S STATE ST FL 22, Salt Lake City, UT 84111-1470
- **Phone:** (801) 703-6721
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Ihc Health Services Inc (NPI 1306888722, Salt Lake City, UT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** May 28, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1851017446) · Data from the CMS NPPES public registry.