Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1346056348 Individual Practitioner Male Practitioner

Johnathon Ivar Pedersen , FNP-BC

Nurse Practitioner - Family • Bountiful, UT

Professional Overview & Biography Verified Profile Summary

Johnathon Pedersen, FNP-BC is a certified Nurse Practitioner - Family practicing in Bountiful, UT. With approximately 2 years of clinical experience since completing medical education in 2024, Johnathon Pedersen delivers high-quality medical care to the local community at 230 S MAIN ST.

Johnathon Pedersen does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

230 S Main St

Bountiful, UT 840106236

Telephone 8016980544
Associated Practice Facility / Clinic
🏢 Valdar Llc Facility NPI 1336619675

Medicare Profile & Education

Medical School

Other

Graduation Year

2024

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Family in Bountiful, UT

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs -5.1 yrs vs City Avg
City Avg: 7.1 Yrs
State Avg: 7.2 Yrs
Regional Practice Density
32 Specialists

Practicing in Bountiful, UT (2184 Statewide)

Telehealth Adoption Rate
9.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pedersen (2 Years) 2 Yrs
Bountiful Specialty Average (7.1 Years) 7.1 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-03-16
Nurse Practitioner - Family Primary Specialty

NUCC Taxonomy Code: 363LF0000X

State License UT 10222638-4405

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dianna Austill , FNP

Student in an Organized Health Care Education/Training Program

NPI 1326834375

Family Nurse Practitioner

Valarie Jacobs , APRN

Nurse Practitioner - Family

NPI 1912480567

Advanced Practice Registered Nurse

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location March 16, 2025

Registered at 230 S MAIN ST, BOUNTIFUL, UT 840106236 (Tel: 8016980544)

📍
Updated Business Mailing Address March 16, 2025

Registered at 230 S MAIN ST, BOUNTIFUL, UT 840106236 (Tel: 8016980544)

NPI Profile Active December 05, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location December 05, 2024

Registered at 8012 S BRYCE DR, SANDY, UT 840700460 (Tel: 8019164750)

📍
Updated Business Mailing Address December 05, 2024

Registered at 8012 S BRYCE DR, SANDY, UT 840700460 (Tel: 8019164750)

👤
Provider Name / Credentials Updated December 05, 2024

Recorded as JOHNATHON PEDERSEN, FNP-BC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 05, 2024

Nurse Practitioner (License #10222638-4405 in UT)

🟢
Initial NPI Registration & Enumeration December 05, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Johnathon Pedersen. Be the first to share your experience!

Sign in to leave a review for Johnathon Pedersen

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1346056348
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 05, 2024
Last Update: March 16, 2025
Sole Proprietor: Yes

Mailing Address

230 S Main St

Bountiful, UT 840106236

Phone: 8016980544

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.