Jared Nielsen, PA-C is a
Physician Assistant based in North Salt Lake, Utah. Jared Nielsen is licensed to practice in Utah (license number 13111589-1206) and his current practice location is
985 Lillywood Ln, North Salt Lake, Utah. He can be reached at his office (for appointments etc.) via phone at
(801) 915-3989.
NPI number for Jared Nielsen is 1932835311 and his current mailing address is 985 Lillywood Ln, North Salt Lake, Utah. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1932835311.
Provider's Profile
Full Name | Jared Nielsen |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 985 Lillywood Ln, North Salt Lake, Utah |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1932835311
- Provider Enumeration Date: 07/27/2022
- Last Update Date: 11/09/2022
Medical Identifiers
Medical identifiers for Jared Nielsen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1932835311 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 13111589-1206 (Utah) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jared Nielsen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jared Nielsen, PA-C 985 Lillywood Ln, North Salt Lake, UT 84054-3054 Ph: (801) 915-3989 | Jared Nielsen, PA-C 985 Lillywood Ln, North Salt Lake, UT 84054-3054 Ph: (801) 915-3989 |
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