Active NPI 1154376077 Individual Practitioner Female Practitioner

Vicki L Jackman , APRN

Nurse Practitioner • Salt Lake City, UT

Professional Overview & Biography Verified Profile Summary

Vicki Jackman, APRN is a registered healthcare professional specializing in Nurse Practitioner in Salt Lake City, UT. Practice services are available at 4624 HOLLADAY BLVD under active NPI credentials.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, daily hospital management of continuous spinal drug administration, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4624 Holladay Blvd

Salt Lake City, UT 841175206

Telephone 8012772682

Fax 8012772980

Associated Practice Facility / Clinic

🏢 Olympus Clinic Facility NPI 1508810508

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Salt Lake City, UT

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.7 Yrs

State Avg: 8.4 Yrs

Regional Practice Density

280 Specialists

Practicing in Salt Lake City, UT (1143 Statewide)

Telehealth Adoption Rate

12.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	15	$164.42	$64.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	52	36	$164.42	$64.84
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	14	14	$235.75	$98.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	146	92	$164.42	$57.15
01996 Daily hospital management of continuous spinal drug administration	18	11	$345.98	$62.53
99213 Established patient office or other outpatient visit, typically 15 minutes	17	17	$159.91	$55.65
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	11	11	$235.75	$84.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	196	121	$161.83	$59.07
01996 Daily hospital management of continuous spinal drug administration	69	32	$339.26	$63.06
99213 Established patient office or other outpatient visit, typically 15 minutes	36	34	$158.23	$56.35
99231 Follow-up hospital inpatient care per day, typically 15 minutes	14	14	$89.64	$31.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	128	82	$157.81	$60.88
99231 Follow-up hospital inpatient care per day, typically 15 minutes	97	84	$88.51	$33.28
01996 Daily hospital management of continuous spinal drug administration	52	32	$331.76	$64.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	173	126	$83.20	$33.47
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	116	84	$150.95	$61.61
01996 Daily hospital management of continuous spinal drug administration	86	48	$321.37	$65.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	122	85	$81.50	$32.44
01996 Daily hospital management of continuous spinal drug administration	63	50	$308.68	$64.56
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	46	39	$147.04	$60.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	121	79	$81.49	$32.09
01996 Daily hospital management of continuous spinal drug administration	97	66	$305.91	$64.75
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	32	31	$145.70	$60.46

Medical Specialties & State Licenses

CMS Verified: 2021-10-21

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License UT 295232-4405

(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.

Practice Associates & Co-Workers

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

10 Associated Practitioners

Shannon Quinn , APRN

Nurse Practitioner - Family

NPI 1215583059

Advanced Practice Registered Nurse

Dr. Jared Probst , MD

Family Medicine

NPI 1346295177

Doctor of Medicine (M.D.)

Dr. Steven Heath , MD

Family Medicine

NPI 1366497166

Doctor of Medicine (M.D.)

Dr. Christopher Gamble , MD

Family Medicine

NPI 1487609277

Doctor of Medicine (M.D.)

Dr. Jon Wall , MD

Family Medicine

NPI 1528006491

Doctor of Medicine (M.D.)

Dr. Robert Hill , MD

Family Medicine

NPI 1770521643

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 4624 HOLLADAY BLVD, SALT LAKE CITY, UT 841175206 (Tel: 8012772682)

📍

Updated Business Mailing Address July 08, 2007

Registered at 4624 HOLLADAY BLVD, SALT LAKE CITY, UT 841175206 (Tel: 8012772682)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as VICKI JACKMAN, APRN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Nurse Practitioner (License #295232-4405 in UT)

🟢

Initial NPI Registration & Enumeration May 23, 2006

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: 1154376077

Entity Type:

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

Enumeration Date: May 23, 2006

Last Update: October 21, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4624 Holladay Blvd

Salt Lake City, UT 841175206

Phone: 8012772682

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.