ROBERT A JELACO (PA-C) – Physician Assistant, NPI 1164411914

ROBERT A JELACO (PA-C) is a healthcare provider. based in Ogden, Utah. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. 102917-1206 (UT). The NPI Number for ROBERT A JELACO (PA-C) is 1164411914

Main info

Male
Name
ROBERT A JELACO (PA-C)
NPI
1164411914
Phone
(801) 475-3000
Address
4650 HARRISON BLVD
Enumeration Date
14 October 2005
Last Update Date
6 February 2013
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for ROBERT A JELACO (PA-C)

  • Ogden Clinic, 4650, Harrison Boulevard, Ogden, Weber County, Utah, 84408, United States

    OGDEN, UT 844034303

    Phone: (801) 475-3000

    Fax: (801) 475-3001

    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.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 84403)

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Reviews

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Frequently asked questions

How is ROBERT A JELACO (PA-C) identified in CMS data?
CMS-hosted NPPES data lists ROBERT A JELACO (PA-C) with NPI 1164411914.
Can I rely on ROBERT A JELACO (PA-C) being an active provider?
As of the registry snapshot, ROBERT A JELACO (PA-C) is marked active.
What is ROBERT A JELACO (PA-C)'s primary classification?
Physician Assistant is the headline specialty for ROBERT A JELACO (PA-C) here. Clinical services aligned with this taxonomy classification.
What address line appears for ROBERT A JELACO (PA-C)?
ROBERT A JELACO (PA-C)'s geographic hint is Ogden, Utah in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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