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Provider Profile

Jacob Wallace, A.P.R.N

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At a glance

About Jacob Wallace

Jacob Wallace, A.P.R.N is a nurse practitioner — family based in Logan, UT. Jacob is also listed as specializing in nurse practitioner — gerontology. Medicare claims data shows Jacob provided 289 services to 215 patients. The services billed most often include visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient', established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more, and established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more. The provider's National Provider Identifier (NPI) is 1639915911.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

School Other Graduated: 2024

Credentials & Licensing

UT licenceAs reported to the NPI registry
No. 7205712-4405As reported
NPINational Provider Identifier
1639915911Issued 2024

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What is Jacob Wallace's specialty?

Jacob Wallace is a nurse practitioner in Logan, UT. That is the designation recorded for this NPI in the federal registry, where it is listed as “Nurse Practitioner — Family”.

NPI registry

Where can I find Jacob Wallace?

Jacob Wallace is listed at 630 E 1400 N Ste 135, Logan, UT 84341. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How do I contact Jacob Wallace?

The number on file is (435) 787-8146. Contact the office directly to confirm availability and scheduling.

NPI registry

What is the NPI for Jacob Wallace?

Jacob Wallace's National Provider Identifier is 1639915911. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

What is Jacob Wallace's education?

Jacob Wallace attended Other, graduating in 2024. This comes from the CMS National Downloadable File.

CMS public data

How much experience does Jacob Wallace have?

Jacob Wallace has 2 years experience. Calculated from a graduation year of 2024, reported in the CMS National Downloadable File.

CMS public data

What is Jacob Wallace known for?

According to Medicare billing data, Jacob Wallace the Medicare record under this individual NPI shows mainly office visits and diagnostic testing. Hospital-based physicians usually have their procedural work billed by the facility rather than under their own number, so this is a floor on their practice, not a description of it. This reflects Medicare patients only and is billing volume, not a measure of quality.

Medicare claims

Is Jacob Wallace's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Jacob Wallace. If this is you, claiming it is free.

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