JASMIN ELIZABETH CHARLES (PA-C) – Physician Assistant, NPI 1912258278
Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,971 PHYSICIAN ASSISTANT in UT
Provider Addresses for JASMIN ELIZABETH CHARLES (PA-C)
4745 S 3200 W
TAYLORSVILLE, UT 841292822
Phone: (801) 964-6214
Fax: (801) 858-4670
Type: Location
646 E 3065 S
SOUTH SALT LAKE, UT 841061351
Phone: (801) 910-2137
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 53 Open Payments records for all available years, with a total value of $13,552.
Total Amount is formed as General ($13,552) + Research ($0) + Ownership ($0) = $13,552.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Braeburn Inc. ($6,765).
Total Amount
$13,552
General + Research + Ownership
Payments
53
Total payment records
General Amount
$13,552
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Braeburn Inc. | $6,765 |
| Gilead Sciences, Inc. | $6,661 |
| Actelion Pharmaceuticals US, Inc. | $70 |
| Biogen, Inc. | $56 |
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: 2016-12-19
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 |
|---|---|---|---|---|
| I20161219002436 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84129)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Medicine And Rehabilitation | UT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | UT | |
| Nurse Practitioner | UT | |
| Physical Medicine And Rehabilitation | IL | |
| Physician Assistant | NC | |
| - | UT | |
| - | UT | |
| Physical Medicine And Rehabilitation | UT | |
| Physical Medicine And Rehabilitation | UT | |
| Physical Medicine And Rehabilitation | IL |
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