Jacob Clark, APRN, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Draper, UT
Jacob Clark, APRN, PMHNP-BC is a psychiatric/mental health nurse practitioner with a practice address in Draper, Utah, and NPI 1487009957, issued on May 3, 2016. Check the license (Utah 8480668-4405, as entered in NPPES) with the Utah board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Jacob Clark
- Credential
- APRN, PMHNP-BC
- Primary taxonomy
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License number
- 8480668-4405 UT
Self-reported in NPPES; status is on the state search - Practice location
- 138 E 12300 S Unit 860, Draper, UT 84020
- Phone
- (801) 449-1429
- Enumerated
- May 3, 2016
- Record last updated
- Oct 1, 2022
- Medicare enrollment
- Enrolled (PECOS I20231115003976); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest psychiatric/mental health nurse practitioner records → All 580 in Utah → Look up another NPI →
Verify Jacob Clark in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Utah board licenses this profession
Search for license 8480668-4405Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
87% fewer Medicare Part D claims than the average psychiatric/mental health nurse practitioner in 2024
121 Medicare Part D claims, against an average of 906 among the 30,717 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims.
Most prescribed
- Methylphenidate Hcl24 claims
- Bupropion Xl17 claims
- Trazodone Hcl13 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Bills Medicare through one group practice
- Ihc Health Services IncMurray, UT
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Jacob Clark among 580 psychiatric/mental health nurse practitioner records in Utah
Jacob Clark, APRN, PMHNP-BC is one of 580 psychiatric/mental health nurse practitioner records with a practice address in Utah. 66% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2016, is newer than 29% of them.
- NPI issued2016 · 29% of these records are older, 66% newer
- In a Medicare fileYes · 66% of these records are
- In the CMS Doctors and Clinicians fileYes · 48% of these records are
- Graduated2022 · median 2021 among the 277 with a school on file
- Record last updated2022 · 27% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363LP0808X and a Utah practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
18 psychiatric/mental health nurse practitioner records list a practice address in Draper
They are 18 of the 1,938 NPPES records with a practice address in Draper, and 580 psychiatric/mental health nurse practitioner records in Utah.
All 580 in Utah → Every provider in Draper → Psychiatric/Mental Health Nurse Practitioner nationwide →
The 8 psychiatric/mental health nurse practitioner records with the nearest ZIP codes
- Erica Agliano, DNP, APRN, PMHNP-BCDraper, UT 840201932618113
- Samantha Allan, APRNDraper, UT 840201417542994
- Christopher Black, APRNDraper, UT 840201790413359
- Shantel Dawe, DNP PMHNPDraper, UT 840201205140951
- Michael Desjardins, MSN, APRNDraper, UT 840201801924766
- Joshua Fletcher, PMHNPDraper, UT 840201841991437
- Leslie Forbush, PMHNP-DNP-FNPDraper, UT 840201578172847
- Jake HutchingsDraper, UT 840201851777403
Common questions
What is Jacob Clark, APRN, PMHNP-BC's NPI number?
Jacob Clark, APRN, PMHNP-BC's National Provider Identifier (NPI) is 1487009957, issued on May 3, 2016. An NPI identifies a provider in billing; it is not a license.
Where is Jacob Clark, APRN, PMHNP-BC located?
The NPPES record lists a practice address at 138 E 12300 S Unit 860, Draper, UT, 84020. Phone: (801) 449-1429. Providers update this record themselves, so call before visiting.
How can I verify Jacob Clark, APRN, PMHNP-BC's license?
NPPES lists Utah license number 8480668-4405, as entered by the provider. Search the Utah board that licenses this profession; the NPPES record confirms identity only.
How much does Jacob Clark, APRN, PMHNP-BC prescribe under Medicare Part D?
In 2024, Jacob Clark, APRN, PMHNP-BC had 121 Medicare Part D claims; the average among psychiatric/mental health nurse practitioner prescribers was 906. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.