Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1043495807 Individual Practitioner Female Practitioner

Jennifer Hulick Bautista , APRN

Nurse Practitioner • Provo, UT

Professional Overview & Biography Verified Profile Summary

Jennifer Bautista, APRN is a registered healthcare professional specializing in Nurse Practitioner in Provo, UT. Practice services are available at 1034 N 500 W under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1034 N 500 W

Provo, UT 846043380

Telephone 8013577707
Fax 8013709061
Associated Practice Facility / Clinic
🏢 Ihc Health Services, Inc Facility NPI 1235189002

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Provo, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.2 Yrs
State Avg: 8.4 Yrs
Regional Practice Density
99 Specialists

Practicing in Provo, UT (1143 Statewide)

Telehealth Adoption Rate
31.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-04-21
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License UT 290211-4405

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Neonatal, Critical Care

NUCC Taxonomy Code: 363LN0005X

State License UT 290211-4405

Definition to come...

Secondary Practice Locations

100 N Medical Dr

Salt Lake City, UT 841131103

Phone: 8016624140

Practice Associates & Co-Workers

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

29 Associated Practitioners
Miriam Bastian , APRN

Nurse Practitioner - Neonatal

NPI 1043492838

Advanced Practice Registered Nurse

Dallin Willes

Nurse Practitioner - Neonatal

NPI 1104307198
Dr. Leslie Lang , MD

Pediatrics - Neonatal-Perinatal Medicine

NPI 1104839208

Doctor of Medicine (M.D.)

Jennifer Jorgenson , APRN

Nurse Practitioner - Neonatal

NPI 1174792352

Advanced Practice Registered Nurse

Daina Swamy , RN, NP

Nurse Practitioner

NPI 1225991078

Registered Nurse, Nurse Practitioner

Dr. Kenneth Richardson , MD, PhD

Pediatrics - Neonatal-Perinatal Medicine

NPI 1265571269

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location April 21, 2026

Registered at 1034 N 500 W, PROVO, UT 846043380 (Tel: 8013577707)

📍
Updated Business Mailing Address April 21, 2026

Registered at PO BOX 27128, SALT LAKE CITY, UT 841270128

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 21, 2026

Nurse Practitioner (License #290211-4405 in UT)

NPI Profile Active December 28, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location December 28, 2007

Registered at 100 N MEDICAL DR, SALT LAKE CITY, UT 841131103 (Tel: 8016624140)

📍
Updated Business Mailing Address December 28, 2007

Registered at 8477 CORNELL DR, SANDY, UT 840941208 (Tel: 8015658002)

👤
Provider Name / Credentials Updated December 28, 2007

Recorded as JENNIFER BAUTISTA, APRN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 28, 2007

Nurse Practitioner (License #290211-4405 in UT)

🟢
Initial NPI Registration & Enumeration December 28, 2007

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: 1043495807
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 28, 2007
Last Update: April 21, 2026
Sole Proprietor: No

Mailing Address

Po Box 27128

Salt Lake City, UT 841270128

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.