Jace Dakota Johnny, DNP, APRN, AGACNP-BC in Salt Lake City, UT

Jace Dakota Johnny, DNP, APRN, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" in Salt Lake City, Utah. He went to University Of Utah School Of Medicine and graduated in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice University Of Utah Adult Services, University Of Utah Acuity Care Services and his current practice location is 2000 Circle Of Hope Dr, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 869-0876.

Jace Dakota Johnny is licensed to practice in Utah (license number 9106759-4405) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1558920835.

Contact Information

	Jace Dakota Johnny, DNP, APRN, AGACNP-BC
	2000 Circle Of Hope Dr, Salt Lake City, UT 84112-5550
	(801) 869-0876
	Not Available

Map and Direction

Provider's Profile

Full Name	Jace Dakota Johnny
Gender	Male
Speciality	Nurse Practitioner
Experience	5 Years
Location	2000 Circle Of Hope Dr, Salt Lake City, Utah
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jace Dakota Johnny attended and graduated from University Of Utah School Of Medicine in 2019

NPI Data:

NPI Number: 1558920835
Provider Enumeration Date: 06/10/2019
Last Update Date: 10/21/2021

Medicare PECOS Information:

PECOS PAC ID: 6204166184
Enrollment ID: I20190918003057

Medical Identifiers

Medical identifiers for Jace Dakota Johnny such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558920835	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LC0200X	Nurse Practitioner - Critical Care Medicine	9106759-4405 (Utah)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	9106759-4405 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Of Utah Hospitals And Clinics	Salt lake city, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Of Utah Adult Services	0941525273	1435
University Of Utah Acuity Care Services	4789908534	112

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jace Dakota Johnny allows following entities to bill medicare on his behalf.

Entity Name	University Of Utah Acuity Care Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407250541 PECOS PAC ID: 4789908534 Enrollment ID: O20150127000392

Entity Name	University Of Utah Adult Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jace Dakota Johnny is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jace Dakota Johnny, DNP, APRN, AGACNP-BC 2000 Circle Of Hope Dr, Salt Lake City, UT 84112-5550 Ph: (801) 869-0876	Jace Dakota Johnny, DNP, APRN, AGACNP-BC 2000 Circle Of Hope Dr, Salt Lake City, UT 84112-5550 Ph: (801) 869-0876

Reviews and Comments

Nurse Practitioner Nurses in Salt Lake City, UT

Mrs. Lisa Ann Runyon, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 N Medical Dr, Trauma Services, Salt Lake City, UT 84113 Phone: 801-662-2993 Fax: 801-662-2999
Madeline Ann Thayer, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 N Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-3600
Emma Fong, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3802 S 700 E, Salt Lake City, UT 84106 Phone: 801-264-6000
Ashlee Brynn Fenton, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1160 E 3900 S Ste G200, Salt Lake City, UT 84124 Phone: 801-268-7766
Donna M. Wahoff-stice, APRN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 615 Arapeen Dr, 100, Salt Lake City, UT 84108 Phone: 801-581-7761
Linda M Lambert, A.P.R.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 N Medical Dr, Salt Lake City, UT 84113 Phone: 801-662-1000
Ms. Ann A. K. Kamp, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 N Medical Dr, Salt Lake City, UT 84113 Phone: 801-662-1000 Fax: 801-662-4166

Jace Dakota Johnny, DNP, APRN, AGACNP-BC - Medicare Nurse Practitioner in Salt Lake City, UT