JONATHAN DAVID ATKIN (P.A.) – Physician Assistant, NPI 1861725889

JONATHAN DAVID ATKIN (P.A.) is a healthcare provider. based in Tooele, Utah. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. 5993085-1206 (UT). The NPI Number for JONATHAN DAVID ATKIN (P.A.) is 1861725889

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
JONATHAN DAVID ATKIN (P.A.)
NPI
1861725889
Phone
(435) 882-2350
Address
2356 NORTH 400 EAST
Enumeration Date
9 September 2009
Last Update Date
16 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8012139900
Graduation Year
2009 (17 years ago)
PAC ID
7416094503
Group Practice PAC ID
9739403569
Professional Enrollment ID
I20091021000865
Address ID
UT841191407SA1525X2100300
Telehealth
Yes

Contacts

Secure Messaging
jatkin5643@direct.med.utah.edu
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:16State licenses:1Other namesUpdated within 12 months

1,971 PHYSICIAN ASSISTANT in UT

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Provider Addresses for JONATHAN DAVID ATKIN (P.A.)

  • 2356, 400 East, Tooele, Tooele County, Utah, 84074, United States

    SUITE 201

    TOOELE, UT 84074

    Phone: (435) 882-2350

    Fax: (435) 882-2039

    Mailing address matches the actual address.

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: 2009-10-21

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
I20091021000865IPhysician 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes203117$0
99215Established patient office or other outpatient visit, 40-54 minutes8246$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit2626$0
View full utilization report →

Insurance plans in this area (ZIP 84074)

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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: 9739403569View full group profile
NameSpecialtyState
Family PracticeUT
Internal MedicineUT
P O D I A T R YUT
Physician AssistantUT
Family PracticeUT
Family PracticeMT
Family PracticeUT
Family PracticeUT
Physician AssistantUT
Physician AssistantUT

Reviews

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Frequently asked questions

What federal number belongs to JONATHAN DAVID ATKIN (P.A.)?
The federal identifier for JONATHAN DAVID ATKIN (P.A.) is NPI 1861725889.
Does this profile mean JONATHAN DAVID ATKIN (P.A.) is currently active?
Yes — JONATHAN DAVID ATKIN (P.A.) appears active in the national provider directory.
What kind of provider is JONATHAN DAVID ATKIN (P.A.)?
The page reflects Physician Assistant for JONATHAN DAVID ATKIN (P.A.). Clinical services aligned with this taxonomy classification.
Where does public data place JONATHAN DAVID ATKIN (P.A.)?
The snapshot lists Tooele, Utah for JONATHAN DAVID ATKIN (P.A.); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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