JORDAN DRESEN – Physician Assistant, NPI 1447985866

JORDAN DRESEN is a healthcare provider. based in Provo, Utah. specializing in PHYSICIAN ASSISTANT. They hold a License No. 13593690-1206 (UT). The NPI Number for JORDAN DRESEN is 1447985866

Main info

Male
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
JORDAN DRESEN
NPI
1447985866
Phone
(385) 269-6003
Address
122 E 1700 S Bldg 3
Enumeration Date
20 July 2022
Last Update Date
31 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8017683500
Graduation Year
2023 (3 years ago)
PAC ID
6305295551
Group Practice PAC ID
4284781543
Professional Enrollment ID
I20231213000959
Address ID
UT840434999LE3000XBLVD405
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:3State licenses:1Digital endpointsOther names

1,971 PHYSICIAN ASSISTANT in UT

Provider Addresses for JORDAN DRESEN

  • 122 E 1700 S Bldg 3

    Provo, UT 846065644

    Phone: (385) 269-6003

    Type: Location

  • 122 E 1700 S BLDG 3

    PROVO, UT 846065644

    Phone: (385) 269-6003

    Type: Location

  • 3811 W 1530 N UNIT 202

    LEHI, UT 840436790

    Phone:

    Type: Mailing

  • 1055 N 300 W

    PROVO, UT 846043344

    Phone: (801) 357-7499

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $128.

Total Amount is formed as General ($128) + Research ($0) + Ownership ($0) = $128.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($46).

Total Amount

$128

General + Research + Ownership

Payments

5

Total payment records

General Amount

$128

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2023-12-13

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
I20231213000959IPhysician AssistantUTTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84606)

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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: 4284781543View full group profile
NameSpecialtyState
Nurse PractitionerUT
Nurse PractitionerUT
Qualified AudiologistUT
Nurse PractitionerUT
O T O L A R Y N G O L O G YUT
Qualified AudiologistUT
Nurse PractitionerUT
O T O L A R Y N G O L O G YUT
Physician AssistantNV
O T O L A R Y N G O L O G YUT

Reviews

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Frequently asked questions

Does JORDAN DRESEN have a public NPI I can cite?
Public records show JORDAN DRESEN under NPI 1447985866.
Quick check: is JORDAN DRESEN active?
Public NPPES data shows JORDAN DRESEN with an active NPI status right now.
How should patients interpret JORDAN DRESEN's specialty?
The extract shows Physician Assistant for JORDAN DRESEN. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JORDAN DRESEN?
JORDAN DRESEN is associated with Provo, Utah in the same public data insurers reference.
Can I export JORDAN DRESEN's record?
You can download the official NPPES record; we summarize key fields for readability.

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