Active NPI 1396918462 Individual Practitioner Female Practitioner

Lu Ann Jacobs-Peterson , APRN FNP

Nurse Practitioner • Tooele, UT

Professional Overview & Biography Verified Profile Summary

Lu Ann Jacobs-Peterson, APRN FNP is a registered healthcare professional specializing in Nurse Practitioner in Tooele, UT. Practice services are available at 2376 N 400 E STE 205 under active NPI credentials.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2376 N 400 E Ste 205

Tooele, UT 840743413

Telephone 4358828111

Fax 4358822111

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Tooele, UT

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 28.0 Yrs

State Avg: 8.4 Yrs

Regional Practice Density

4 Specialists

Practicing in Tooele, UT (1143 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.1% 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
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$263.00	$83.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$235.00	$87.79
99213 Established patient office or other outpatient visit, typically 15 minutes	13	11	$210.00	$69.92

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	32	30	$277.00	$106.60
36415 Insertion of needle into vein for collection of blood sample	15	15	$20.00	$3.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99336 Established patient assisted living visit, typically 40 minutes	346	53	$172.82	$114.40
99497 Advance care planning, first 30 minutes	26	23	$108.35	$71.77
99326 New patient assisted living visit, typically 45 minutes	19	19	$177.57	$117.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99336 Established patient assisted living visit, typically 40 minutes	151	55	$203.49	$112.58
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	29	13	$236.09	$107.84
99326 New patient assisted living visit, typically 45 minutes	19	19	$190.23	$115.40
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	17	12	$100.00	$34.91
99327 New patient custodial care facility, group care, or assisted living visit, typically 1 hour	12	12	$341.05	$157.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99336 Established patient assisted living visit, typically 40 minutes	56	18	$251.72	$112.49

Medical Specialties & State Licenses

CMS Verified: 2025-04-17

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License UT 219855-4405

(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 - Family

NUCC Taxonomy Code: 363LF0000X

State License UT 219855-4405

Definition to come...

Secondary Practice Locations

Harris Village Clinic, 251 N 1st St

Tooele, UT 84074

Phone: 4352285151

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Gail Strindberg , MD

Surgery

NPI 1104812395

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

13 Historical Events

📍

Updated Practice Location October 23, 2022

Registered at 2376 N 400 E STE 205, TOOELE, UT 840743413 (Tel: 4358828111)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 23, 2022

Nurse Practitioner (License #219855-4405 in UT)

📍

Updated Practice Location May 22, 2022

Registered at 861 N 980 W, OREM, UT 840577710 (Tel: 3852624135)

📍

Updated Business Mailing Address May 22, 2022

Registered at 14540 S MAJESTIC OAKS LN, HERRIMAN, UT 840963645 (Tel: 8012321998)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 22, 2022

Nurse Practitioner (License #219855-4405 in UT)

📍

Updated Practice Location July 06, 2021

Registered at 4460 S HIGHLAND DR, SALT LAKE CITY, UT 841243543 (Tel: 8889494864)

📍

Updated Business Mailing Address July 06, 2021

Registered at 4460 S HIGHLAND DR, SALT LAKE CITY, UT 841243543 (Tel: 8889494864)

✅

NPI Profile Active March 17, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location March 17, 2009

Registered at 1055 N 500 W, SUITE 222, PROVO, UT 846043305 (Tel: 8013774623)

📍

Updated Business Mailing Address March 17, 2009

Registered at 1055 N 500 W, CREDENTIALING DEPARTMENT, PROVO, UT 846043305 (Tel: 8014298000)

👤

Provider Name / Credentials Updated March 17, 2009

Recorded as LU ANN JACOBS-PETERSON, APRN FNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2009

Nurse Practitioner (License #219855-4405 in UT)

🟢

Initial NPI Registration & Enumeration April 09, 2008

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: 1396918462

Entity Type:

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

Enumeration Date: April 09, 2008

Last Update: April 25, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

14540 S Majestic Oaks Ln

Herriman, UT 840963645

Phone: 8012321998

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.