MR. JESSE A JORGENSEN (PAC) – Physician Assistant, NPI 1336130889
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
1,971 PHYSICIAN ASSISTANT in UT
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Provider Addresses for MR. JESSE A JORGENSEN (PAC)
SLC Alimentos, Jardim América, Capão do Leão, Região Geográfica Imediata de Pelotas, Aglomeração Urbana do Sul, Região Geográfica Intermediária de Pelotas, Rio Grande do Sul, South Region, Brazil
SLC, UT 84105
Phone: (801) 773-8644
Fax: (775) 246-4186
Type: Mailing
1580, West Antelope Drive, Vae View, Layton, Davis County, Utah, 84041, United States
SUITE 100
LAYTON, UT 840411160
Phone: (801) 927-1632
Fax: (801) 927-1591
Type: Location
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: 2007-01-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070116000645 | I | Physician Assistant | UT | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 115 | 108 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 23 | 23 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 15 | 15 | $0 |
Insurance plans in this area (ZIP 84105)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | UT | |
| Physician Assistant | UT | |
| Physician Assistant | UT | |
| Physician Assistant | UT | |
| P O D I A T R Y | IA | |
| Physician Assistant | UT | |
| Physician Assistant | UT | |
| Physician Assistant | TX | |
| Family Practice | UT | |
| Physician Assistant | HI |
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