JORDAN DANIEL RAWLINGS DO
NPI 1992454912
Family Medicine in Provo, UT

Q: What is Jordan Rawlings's NPI number?

The NPI number for Jordan Rawlings is 1992454912. It was assigned to this individual provider in the NPPES registry on March 18, 2022.

Q: What is Jordan Rawlings's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Rawlings was last updated on May 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 18, 2022PECOS EnrolledAccepts Medicare Assignment

395 W COUGAR BLVD STE 205, PROVO, UT 84604(801) 357-1770(801) 357-1779 Get Directions Write a Review

NPPES record last updated: May 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jordan Daniel Rawlings Do NPPES

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

JORDAN DANIEL RAWLINGS DO (NPI 1992454912) is an individual family medicine provider in Provo, Utah, licensed in Utah (13580758-1204) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with Utah Valley Hospital, and maintains a secondary practice location in Provo.

NPPES Registry Identity

NPI1992454912

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJORDAN DANIEL RAWLINGSCredential: DO

Location Address395 W COUGAR BLVD STE 205Provo, UT 84604-3328

Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128

Phone(801) 357-1770

Fax(801) 357-1779

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateMarch 18, 2022

Last NPPES UpdateMay 9, 2024

NPPES CertifiedMay 9, 2024

✔ NPI 1992454912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in UT · 13580758-1204

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

395 W COUGAR BLVD STE 205, Provo, UT 84604

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Secondary Practice Location 1

Location 1475 W 940 NProvo, UT 84604-3301 · Phone (801) 357-7940

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

Jordan Daniel Rawlings 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 ID2668815309

PECOS Enrollment IDI20240208004549

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.

Hospital Affiliations CMS Care Compare

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

Utah Valley Hospital

Acute Care Hospitals · Provo, UT

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460001

Location1034 North 500 WestProvo, UT 84604 · Utah County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84604 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 17

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

MS. JESSICA C NEWBERRY FNP

Nurse Practitioner (Family)