Jedediah Kowalski, APRN
NPI 1366963928 · Family Nurse Practitioner · South Jordan, UT
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jedediah Kowalski, APRN is a Family Nurse Practitioner provider in South Jordan, UT (NPI 1366963928).
Provider details
- NPI number
- 1366963928
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Male
- Sole proprietor
- Yes
- License
- 7964951-4405 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
8 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
386 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 160 | $83 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 141 | $14 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 41 | $59 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 32 | $111 |
| Physician Or Allowed Practitioner Certification for Medicare-Covered Home Health Services Under a Home Health Plan of Care (patient Not Present), Including Contacts With Home Health Agency and Review of Reports of Patient Status Required By Physicians andG0180 | 12 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 88 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 277 | 89 |
| Levothyroxine Sodium | 150 | 47 |
| Gabapentin | 125 | 45 |
| Amlodipine Besylate | 124 | 42 |
| Metformin Hcl | 110 | 33 |
| Losartan Potassium | 96 | 34 |
| Lisinopril |
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-07-03
- Last updated
- 2021-11-17
- Certified
- 2021-11-17
Frequently asked questions
- What is Jedediah Kowalski's NPI number?
- Jedediah Kowalski's National Provider Identifier (NPI) is 1366963928, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jedediah Kowalski's specialty?
- Jedediah Kowalski is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jedediah Kowalski located?
- Jedediah Kowalski's practice location on file with NPPES is 5126 W Daybreak Pkwy, South Jordan, UT 84009-5994.
- What is Jedediah Kowalski's phone number?
- The practice phone number listed in the NPPES registry for Jedediah Kowalski is (801) 656-7647.
- Does Jedediah Kowalski accept Medicare?
- Jedediah Kowalski is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jedediah Kowalski's NPI active?
- Yes — Jedediah Kowalski's NPI (1366963928) is active in the NPPES registry as of the last update on 2021-11-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.