Jacob Sanderson, FNP-BC
NPI 1265094742ActiveIndividual· Nurse Practitioner, Family· Logan, UT
Nurse Practitioner, Family (FNP-BC) in Logan, Utah, trained at University of South Alabama College of Medicine (class of 2019). 263 Medicare patients in 2024, $188,710 paid; nearly all of their 1,906 Part D prescriptions were generic (93%).
Overview
| NPI | 1265094742 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP-BC |
| Sole proprietor | No |
| NPI issued | Jul 3, 2019 |
| Last updated in NPPES | Oct 13, 2025 |
| Certified by provider | Oct 13, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 6231344-4405 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (ID); Practitioner - Nurse Practitioner (UT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 263 |
|---|---|
| Services billed | 2,599 across 25 procedure codes |
| Paid by Medicare | $188,710 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,906 · 1,971 30-day fills |
|---|---|
| Patients | 179 |
| Total drug cost | $68,040 |
| Generic share | 93% of claims |
Education and affiliations
| Medical school | University of South Alabama College of Medicine |
|---|---|
| Graduation year | 2019 |
| Medicare specialty | Nurse Practitioner |
Medical groups
- Atlas Medical Utah LLCLogan, UT · 7 clinicians
- Hospitalist Medicine Physicians of Michigan - Dowagiac PLLCBrigham City, UT · 4 clinicians
Hospital affiliations
- Brigham City Community HospitalBrigham City, UT
- Cache Valley HospitalNorth Logan, UT
- Intermountain Health Logan Regional HospitalLogan, UT
Other facilities
- Ascend Home HealthHome health agency · Logan, UT
- Atlas Home CareHome health agency · Layton, UT
- Ascend HospiceHospice · Logan, UT
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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