Active NPI 1275926149 Individual Practitioner Male Practitioner

Caleb R Jackson , FNP

Nurse Practitioner - Family • Alpine, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Caleb Jackson, FNP is a certified Nurse Practitioner - Family practicing in Alpine, UT. With approximately 13 years of clinical experience since completing medical education in 2013, Caleb Jackson delivers high-quality medical care to the local community at 375 S MAIN ST.

Caleb Jackson accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, partial removal of middle spine bone with release of spinal cord and/or nerves. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

375 S Main St

Alpine, UT 840042008

Telephone 8018915788

Medicare Profile & Education

Medical School

Other

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Family in Alpine, UT

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

13 Yrs Matches City Avg

City Avg: 13.0 Yrs

State Avg: 7.2 Yrs

Regional Practice Density

4 Specialists

Practicing in Alpine, UT (2184 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

85.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jackson (13 Years) 13 Yrs

Alpine Specialty Average (13.0 Years) 13.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	31	$546.00	$103.53
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	28	25	$767.00	$146.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$479.00	$89.99
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	16	16	$1818.30	$144.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$713.00	$135.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	31	31	$388.00	$174.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	18	$201.00	$103.38
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	21	$271.00	$140.89
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	11	11	$3253.00	$137.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	12	$201.00	$104.79
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	15	15	$3253.00	$129.62
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$388.00	$179.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	15	$201.00	$106.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$202.00	$92.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	23	11	$831.00	$35.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	13	$201.00	$90.10
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$388.00	$172.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	20	$201.00	$89.63
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	19	19	$388.00	$164.57
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	12	$271.00	$120.28
63048 Partial removal of spine bone with release of spinal cord and/or nerves	14	11	$647.00	$30.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$312.00	$136.23
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	12	12	$3253.00	$128.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	33	17	$831.00	$34.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	22	$201.00	$89.11
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	21	21	$388.00	$165.69
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	19	19	$3253.00	$103.01
63048 Partial removal of spine bone with release of spinal cord and/or nerves	16	12	$647.00	$29.05
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	15	$271.00	$114.35
22633 Fusion of spine in lower back with partial removal of spine bone and disc	13	13	$5418.00	$250.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	27	18	$271.00	$119.23
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	19	19	$388.00	$157.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	12	$201.00	$83.87
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	12	12	$1084.67	$115.07

Medical Specialties & State Licenses

CMS Verified: 2026-01-08

Nurse Practitioner - Family Primary Specialty

NUCC Taxonomy Code: 363LF0000X

State License UT 347183-4405

Definition to come...

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events

📍

Updated Practice Location January 08, 2026

Registered at 375 S MAIN ST, ALPINE, UT 840042008 (Tel: 8018915788)

📍

Updated Business Mailing Address January 08, 2026

Registered at 375 S MAIN ST, ALPINE, UT 840042008 (Tel: 8018915788)

📍

Updated Practice Location May 19, 2025

Registered at 5121 S COTTONWOOD ST, MURRAY, UT 841075701 (Tel: 8012618507)

📍

Updated Business Mailing Address May 19, 2025

Registered at PO BOX 27128, SALT LAKE CITY, UT 841270128 (Tel: 8015073462)

📍

Updated Practice Location December 13, 2023

Registered at 1220 E 3900 S STE 4E, SALT LAKE CITY, UT 841241343 (Tel: 8012618507)

📍

Updated Business Mailing Address December 13, 2023

Registered at 5171 S COTTONWOOD ST STE 950, MURRAY, UT 841075713 (Tel: 8015079542)

📍

Updated Business Mailing Address November 25, 2020

Registered at PO BOX 198560, ATLANTA, GA 303848560

✅

NPI Profile Active July 01, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location July 01, 2015

Registered at 1220 E 3900 S, STE 4E, SALT LAKE CITY, UT 841241377 (Tel: 8012618507)

📍

Updated Business Mailing Address July 01, 2015

Registered at 1220 E 3900 S, STE 4E, SALT LAKE CITY, UT 841241377 (Tel: 8012618507)

👤

Provider Name / Credentials Updated July 01, 2015

Recorded as CALEB JACKSON, FNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2015

Nurse Practitioner (License #347183-4405 in UT)

🟢

Initial NPI Registration & Enumeration March 16, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1275926149

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 16, 2015

Last Update: January 08, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

375 S Main St

Alpine, UT 840042008

Phone: 8018915788

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.