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

Jason D Henrie

Individual provider Family Nurse Practitioner · NPI 1629252424

Jason D Henrie is a Nurse Practitioner in Provo, Utah. Qualified in 2007, 19 years ago. Practices with Utah Valley Radiology Associates Inc, a 35-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
19
Licensed in
UT
In the registry since
2007
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1055 N 300 W Ste 308
Provo, UT 84604-3373
Phone: (801) 379-6700
Fax: (801) 379-6800
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4746028-4405 (UT)

Record details

NPI number1629252424
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 28, 2007
Last updated in NPPESDecember 28, 2007
Mailing address1055 N 300 W Ste 308, Provo, UT 84604-3373

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Utah Valley Radiology Associates Inc — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Provo