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MR. SHANE MERWIN KJAR P.A.
NPI 1013932342
Physician Assistant in Salt Lake City, UT

Active since July 13, 2006PECOS Enrolled
324 10TH AVE STE 154, SALT LAKE CITY, UT 84103(801) 408-8666(801) 322-0567 Get Directions Write a Review

NPPES record last updated: February 19, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Shane Merwin Kjar P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. SHANE MERWIN KJAR P.A. (NPI 1013932342) is an individual physician assistant in Salt Lake City, Utah, licensed in Utah (3757931206) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013932342
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. SHANE MERWIN KJARCredential: P.A.
Location Address324 10TH AVE STE 154Salt Lake City, UT 84103-2876
Mailing Address324 10th Ave Ste 154Salt Lake City, UT 84103-2876 · (801) 408-8666 · Fax (801) 322-0567
Phone(801) 408-8666
Fax(801) 322-0567
Sole ProprietorNo
Enumeration DateJuly 13, 2006
Last NPPES UpdateFebruary 19, 2008
✔ NPI 1013932342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in UT · 3757931206
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
324 10TH AVE STE 154, Salt Lake City, UT 84103
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Other Identifiers 1

Medicare UPINS80708

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Shane Merwin Kjar P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PHILLIP EGBERT WILSON M.D., PH.D.
Psychiatry & Neurology (Psychiatry)
324 10TH AVE STE 154
SALT LAKE CITY, UT 84103
Salt Lake County (801) 408-8500
MS. LORI DECKER P.A.
Physician Assistant
324 10TH AVE STE 154
SALT LAKE CITY, UT 84103
Salt Lake County (801) 408-8666

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shane Kjar's NPI number?

The NPI number for Shane Kjar is 1013932342. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Where is Shane Kjar located?

Shane Kjar practices at 324 10th Ave Ste 154, Salt Lake City, UT 84103. The listed phone number is (801) 408-8666.

What is Shane Kjar's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Shane Kjar enrolled in Medicare?

Yes. Shane Kjar is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shane Kjar was last updated on February 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.