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

Mr. Jacob Sanderson, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1265094742

Mr. Jacob Sanderson, FNP-BC is a Nurse Practitioner in Logan, Utah. Graduated from University of South Alabama College of Medicine in 2019, 7 years ago. Practices with Atlas Medical Utah LLC, an 8-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
7
Trained at
University of South Alabama College of Medicine
Licensed in
UT
In the registry since
2019
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1400 N 500 E
Logan, UT 84341-2455
Phone: (435) 716-2000
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 (2)

  • 30 N State St, Preston, ID 83263-1237 — (435) 383-6120
  • 258 S Main St Ste 210, Logan, UT 84321-5768 — (435) 383-6120

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 6231344-4405 (UT)

Record details

NPI number1265094742
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedJuly 3, 2019
Last updated in NPPESOctober 13, 2025
Certification dateOctober 13, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Atlas Medical Utah Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Logan