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

Justin Ingraham

Individual provider Family Nurse Practitioner · NPI 1437954260

Justin Ingraham is a Nurse Practitioner in Magna, Utah. Qualified in 2024, 2 years ago. Practices with Exodus Healthcare Network PLLC, a 26-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
2
Licensed in
UT
In the registry since
2025
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Practice location Address checks out

3665 S 8400 W
Magna, UT 84044-4907
Phone: (801) 250-9638
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 12849022-4405 (UT)

Record details

NPI number1437954260
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 17, 2025
Last updated in NPPESFebruary 17, 2025
Certification dateFebruary 16, 2025
Mailing address3761 W Angelica Way, South Jordan, UT 84095-5116

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Exodus Healthcare Network Pllc — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Magna