Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jacob Douglas Anderson, DNP

Individual provider Family Nurse Practitioner · NPI 1316329220

Dr. Jacob Douglas Anderson, DNP is a Nurse Practitioner in Logan, Utah. Graduated from University of Utah School of Medicine in 2015, 11 years ago. Practices with Sterling Provider Group, a 53-clinician group, works from 9 locations and accepts Medicare assignment. Licensed in Idaho and Utah.

Years since qualifying
11
Trained at
University of Utah School of Medicine
Licensed in
ID, UT
In the registry since
2015
Specialties on file
5
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

630 E 1400 N Ste 150
Logan, UT 84341-2549
Phone: (435) 915-4465
Fax: (435) 787-8509
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (8)

  • 1404 Pomerelle Ave Ste A1, Burley, ID 83318-2013 — (208) 878-8783
  • 507 S Main St, Hailey, ID 83333-8929 — (208) 788-4122
  • 7017 S. Daisy Lane, Idaho Falls, ID 83402-5753 — (208) 534-5878
  • 740 S Woodruff Ave, Idaho Falls, ID 83401-5285 — (208) 542-9111
  • 1201 S Main St Ste 110, Logan, UT 84321-8504 — (435) 787-8504
  • 700 S Highway 91, Richmond, UT 84333-1209 — (435) 294-2960
  • 1952 Harrison Drive, Evanston, WY 82930-3241 — (307) 288-0404
  • 2761 Commercial Way, Rock Springs, WY 82901-4753 — (307) 382-3064

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 7942683-4405 (UT)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence NP1718A (ID)
Occupational Medicine Clinic/Center Taxonomy 261QX0100X
Urgent Care Clinic/Center Taxonomy 261QU0200X
Primary Care Clinic/Center Taxonomy 261QP2300X

Record details

NPI number1316329220
Entity typeIndividual (Type 1)
GenderMale
Credentials DNP
Sole proprietorYes
NPI enumeratedJune 26, 2015
Last updated in NPPESJune 15, 2026
Certification dateJune 15, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Sterling Provider Group — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Logan