JENNIFER JEAN DAVIS – Anesthesiology Physician, NPI 1013092709

JENNIFER JEAN DAVIS is a healthcare provider. based in Salt lake city, Utah. specializing in ANESTHESIOLOGY. They hold a License No. 376411-1205 (UT). The NPI Number for JENNIFER JEAN DAVIS is 1013092709

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER JEAN DAVIS
NPI
1013092709
Phone
(801) 581-6393
Address
50 N MEDICAL DR
Enumeration Date
25 October 2006
Last Update Date
19 October 2021

Doctor Profile

Medical School Name
OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8015817719
Graduation Year
1998 (28 years ago)
PAC ID
3971796376
Group Practice PAC ID
0941525273
Professional Enrollment ID
I20101018001138
Address ID
UT841320100SA50XXXDRXX400

Contacts

Secure Messaging
jdavis54079@direct.med.utah.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

565 ANESTHESIOLOGY in UT

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Provider Addresses for JENNIFER JEAN DAVIS

  • 50, North Medical Drive, Salt Lake City, Salt Lake County, Utah, 84113, United States

    SALT LAKE CITY, UT 841320100

    Phone: (801) 581-6393

    Type: Location

  • PO BOX 413034

    SALT LAKE CITY, UT 841413034

    Phone: (801) 581-6393

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-10-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101018001138IAnesthesiologyUTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2417$0
View full utilization report →

Insurance plans in this area (ZIP 84132)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0941525273View full group profile
NameSpecialtyState
-UT
-UT
Emergency MedicineCO
-UT
Physician AssistantUT
-IL
Plastic And Reconstructive SurgeryOH
Physician AssistantCA
-NC
P S Y C H I A T R YUT

Reviews

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Frequently asked questions

What is the 10-digit NPI for JENNIFER JEAN DAVIS?
JENNIFER JEAN DAVIS — NPI 1013092709 — is the standard way to identify this listing.
Is JENNIFER JEAN DAVIS still practicing?
JENNIFER JEAN DAVIS is currently listed as active in the public NPI registry.
What is JENNIFER JEAN DAVIS's specialty?
The listing groups JENNIFER JEAN DAVIS with Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Where is JENNIFER JEAN DAVIS based?
JENNIFER JEAN DAVIS is tied to Salt Lake City, Utah in the data we show; additional addresses may exist on the full record.
Why does JENNIFER JEAN DAVIS have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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