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

Nelson Jaco

Individual provider Nurse Practitioner · NPI 1457948374

Nelson Jaco is a Nurse Practitioner in Hyde Park, Utah. Qualified in 2020, 6 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
6
Licensed in
UT
In the registry since
2020

Practice location Address checks out

4088 US-91
Hyde Park, UT 84318
Phone: (801) 577-4709
Show map & directions

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

Additional practice locations (1)

  • 412 N 200 E, Logan, UT 84321-4038 — (435) 713-2800

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 9412327-4405 (UT)

Record details

NPI number1457948374
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 26, 2020
Last updated in NPPESFebruary 4, 2022
Certification dateJanuary 27, 2022
Mailing address4088 Us-91, Hyde Park, UT 84318

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

Other providers in Hyde Park