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

Jeremy E Gillen

Individual provider Critical Care Medicine Registered Nurse · NPI 1710508429

Jeremy E Gillen is a Certified Registered Nurse Anesthetist (CRNA) in Ogden, Utah. Qualified in 2022, 4 years ago. Practices with Nph Anesthesia of Utah LLC, a 93-clinician group and accepts Medicare assignment. Licensed in Florida and Utah.

Years since qualifying
4
Licensed in
FL, UT
In the registry since
2020
Specialties on file
2

Practice location Address checks out

5475 S 500 E
Ogden, UT 84405-6905
Phone: (801) 831-2387
Show map & directions

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

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 9640421-4406 (UT)
Critical Care Medicine Registered Nurse Taxonomy 163WC0200X · Licence RN9532686 (FL)

Record details

NPI number1710508429
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 4, 2020
Last updated in NPPESAugust 19, 2022
Certification dateAugust 19, 2022
Mailing address2797 W 2100 N, Clinton, UT 84015-7693

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Nph Anesthesia Of Utah Llc — 93 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Ogden