Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeremy E Gillen

Individual provider Critical Care Medicine Registered Nurse · NPI 1710508429

Jeremy E Gillen is a Certified Registered Nurse Anesthetist (CRNA) in Ogden, Utah. Qualified in 2022, 4 years ago. Practices with Nph Anesthesia of Utah LLC, a 93-clinician group and accepts Medicare assignment. Licensed in Florida and Utah.

Years since qualifying
4
Licensed in
FL, UT
In the registry since
2020
Specialties on file
2

Practice location Address checks out

5475 S 500 E
Ogden, UT 84405-6905
Phone: (801) 831-2387
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 9640421-4406 (UT)
Critical Care Medicine Registered Nurse Taxonomy 163WC0200X · Licence RN9532686 (FL)

Record details

NPI number1710508429
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 4, 2020
Last updated in NPPESAugust 19, 2022
Certification dateAugust 19, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Nph Anesthesia Of Utah Llc — 93 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Ogden