Wylee Kyle Jensen, APRN, FNP-C in Providence, UT

Wylee Kyle Jensen, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Providence, Utah. His current practice location is 190 S Highway 165, Providence, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 755-3300.

Wylee Kyle Jensen is licensed to practice in Utah (license number 8336724-4405) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1407542418.

Contact Information

	Wylee Kyle Jensen, APRN, FNP-C
	190 S Highway 165, Providence, UT 84332-9512
	(435) 755-3300
	Not Available

Map and Direction

Provider's Profile

Full Name	Wylee Kyle Jensen
Gender	Male
Speciality	Nurse Practitioner - Family
Location	190 S Highway 165, Providence, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407542418
Provider Enumeration Date: 04/13/2023
Last Update Date: 06/13/2023

Medicare PECOS Information:

PECOS PAC ID: 1052774650
Enrollment ID: I20230830001424

Medical Identifiers

Medical identifiers for Wylee Kyle Jensen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407542418	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	8336724-4405 (Utah)	Primary

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. Wylee Kyle Jensen allows following entities to bill medicare on his behalf.

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303

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. Wylee Kyle Jensen 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
Wylee Kyle Jensen, APRN, FNP-C 217 W 400 S, Hyde Park, UT 84318-6702 Ph: (435) 881-0166	Wylee Kyle Jensen, APRN, FNP-C 190 S Highway 165, Providence, UT 84332-9512 Ph: (435) 755-3300

Reviews and Comments

Nurse Practitioner Nurses in Providence, UT

Angela C Thompson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 411 W 100 N Unit 412, Providence, UT 84332 Phone: 435-799-3840 Fax: 833-205-1005
Monica A Harris, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1078 S 800 E, Providence, UT 84332 Phone: 435-363-5770
Leighanne Quarles, APRN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 198 S 100 W, Providence, UT 84332 Phone: 801-201-0004 Fax: 866-503-6022
Mr. Ben P Boyer, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 435 N Gateway Dr Ste 801, Providence, UT 84332 Phone: 435-787-1023 Fax: 435-787-1882
Natalie Jean Gibson, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 169 N Gateway Dr Ste 170, Providence, UT 84332 Phone: 435-213-3597
Mrs. Adrianna Durrant, NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 174 W 280 N, Providence, UT 84332 Phone: 435-232-4280

Wylee Kyle Jensen, APRN, FNP-C - Medicare Nurse Practitioner in Providence, UT