Jacob Douglas Anderson, DNP
Family Nurse Practitioner · Logan, UT
At a glance
630 E 1400 N Ste 150, Logan, UT 84341-2549
NPPES record updated Jun 15, 2026. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Medicare & insurance
Insurance participation is not established by these public records. Ask the practice and your insurer about your specific plan and this location.
How to check your coverage
Use your plan’s provider directory or the member-services number on your insurance card. Confirm the clinician, practice address, service, and whether a referral is required. A missing opt-out record does not establish Medicare acceptance.
Check the official Medicare directory ↗Practice location
630 E 1400 N Ste 150Logan, UT 84341-2549
Additional reported practice locations
740 S Woodruff AveIdaho Falls, ID 834015285
Phone: 2085429111
Fax: 2085429114 1404 Pomerelle Ave Ste A1
Burley, ID 833182013
Phone: 2088788783
Fax: 2088788786 1952 Harrison Drive
Evanston, WY 829303241
Phone: 3072880404
Fax: 3072882810 507 S Main St
Hailey, ID 833338929
Phone: 2087884122
Fax: 2087886430 2761 Commercial Way
Rock Springs, WY 829014753
Phone: 3073823064
Fax: 3073823303 1201 S Main St Ste 110
Logan, UT 843218504
Phone: 4357878504
Fax: 4357993664 700 S Highway 91
Richmond, UT 843331209
Phone: 4352942960
Fax: 4352942960 7017 S. Daisy Lane
Idaho Falls, ID 834025753
Phone: 2085345878
Fax: 2085345716
Education & affiliations
- Medical / professional school
- University Of Utah School Of Medicine
- Graduation year
- 2015
- CMS specialties
- Nurse Practitioner
Practice groups
Graduation year does not establish years in practice. A reported affiliation does not establish employment, current admitting privileges, or insurance participation.
Source: CMS National Downloadable File · Published Oct 15, 2026.
Procedures in the public data
Reported activity can help you ask more informed questions about a practice’s services.
No displayed procedure-category record in this release. This does not mean the clinician performs no procedures.
CMS uses a one-year claims window with a reporting lag. Counts cover the Medicare activity included by CMS, not all patients. “1–10” is a published range. Volume is not a quality or outcomes score. Coverage and methodology
Source: CMS Utilization Data · Published Oct 15, 2026.
Find providers with a similar service mix
Compare 2024 published Medicare activity in the same reported specialty, here or in another city.
Industry-reported general payments
Includes reported transfers of value, such as meals, travel, or consulting. Payments do not establish improper conduct or quality of care. Research funding and ownership values are excluded from this total.
See payment purposes and reporting companies
Reported purposes
| Purpose | Amount |
|---|---|
| Food and beverage | $19.97 |
Reporting companies
| Company | Amount |
|---|---|
| BOSTON SCIENTIFIC CORPORATION | $19.97 |
Source: CMS 2025 payments grouped by covered recipient and nature of payments · Published Jun 30, 2026.
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Family Nurse Practitioner
- Taxonomy code
- 363LF0000X
- Enumeration date
- Jun 26, 2015
- Record updated
- Jun 15, 2026
More registry details
- Provider type
- Individual · Type 1
- Reported credentials
- DNP
Reported taxonomies and licenses
363LF0000X
License reported: NP1718A ID
261QX0100X
261QU0200X
363LF0000X · Primary
License reported: 7942683-4405 UT
261QP2300X
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
630 E 1400 N Ste 150Logan, UT 84341-2549
- Phone
- (435) 915-4465
- Fax
- (435) 787-8509
Mailing address
740 S WOODRUFF AVEIDAHO FALLS, ID 834015285
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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