Jocelyn Clark, - Medicare Nurse Practitioner in Kaysville, UT

Jocelyn Clark, is a medicare enrolled "Nurse Practitioner - Primary Care" in Kaysville, Utah. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Gary F Holland Md Pc, Grab Healthcare Llc and her current practice location is 375 N Main St Ste 103, Kaysville, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 216-4130.

Jocelyn Clark is licensed to practice in Utah (license number 8054881-4405) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1003409756.

Contact Information

Jocelyn Clark,
375 N Main St Ste 103,
Kaysville, UT 84037-1272
(801) 216-4130
Not Available

Map and Direction




Provider's Profile

Full NameJocelyn Clark
GenderFemale
SpecialityNurse Practitioner
Experience3 Years
Location375 N Main St Ste 103, Kaysville, Utah
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jocelyn Clark graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1003409756
  • Provider Enumeration Date: 02/13/2021
  • Last Update Date: 05/09/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8426466277
  • Enrollment ID: I20210416000837

Medical Identifiers

Medical identifiers for Jocelyn Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003409756NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 8054881-3102 (Utah)Secondary
363LP2300XNurse Practitioner - Primary Care 8054881-4405 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
A-plus Home CareOrem, UTHome health agency
Icare Home HealthSpringville, UTHome health agency
A-plus HospiceOrem, UTHospice
American Fork HospitalAmerican fork, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Gary F Holland Md Pc26684663508
Grab Healthcare Llc81234391483

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. Jocelyn Clark allows following entities to bill medicare on her behalf.
Entity NameGary F Holland Md Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598861999
PECOS PAC ID: 2668466350
Enrollment ID: O20040414000799
Entity NameGrab Healthcare Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700499183
PECOS PAC ID: 8123439148
Enrollment ID: O20201124000870
Entity NameTogo Acute And Post Acute Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417667742
PECOS PAC ID: 8921479940
Enrollment ID: O20230130000790

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. Jocelyn Clark 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 AddressPractice Location Address
Jocelyn Clark,
375 N Main St Ste 103,
Kaysville, UT 84037-1272

Ph: (801) 216-4130
Jocelyn Clark,
375 N Main St Ste 103,
Kaysville, UT 84037-1272

Ph: (801) 216-4130

Reviews and Comments


Nurse Practitioner Nurses in Kaysville, UT

Blake Henry Miles, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 977 S Via La Costa Way, Kaysville, UT 84037
Phone: 801-589-6988    
Natalie E Royster-jensen, PMHNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 498 N Kays Dr Ste 200, Kaysville, UT 84037
Phone: 385-382-1555    
Nicole Stapley, DNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 380 N 400 W, Kaysville, UT 84037
Phone: 801-773-4840    Fax: 801-525-8151
Cheryl Ann Wentworth, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 498 N 900 W, Kaysville, UT 84037
Phone: 385-382-1555    
Dr. Annelyse Nita Caffrey, DNP, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 375 N Main St Ste 103, Kaysville, UT 84037
Phone: 801-876-3749    
Baxter Stewart,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1072 N Kingswood Rd, Kaysville, UT 84037
Phone: 385-245-3493    
Jake Scott Parkinson, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 380 N 400 W, Kaysville, UT 84037
Phone: 801-773-4840    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.