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JACOB THOMAS HENDRICKS PA-C
NPI 1023793858
Physician Assistant in Sandy, UT

Active since June 20, 2023PECOS EnrolledAccepts Medicare Assignment
7998 S 1300 E, SANDY, UT 84094(801) 255-2000(801) 352-7185 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 31, 2026, Mar 19, 2025, Jun 20, 2023 (3 updates tracked since 2023).

About Jacob Thomas Hendricks Pa-c NPPES

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

JACOB THOMAS HENDRICKS PA-C (NPI 1023793858) is an individual physician assistant in Sandy, Utah, licensed in Utah (13411972-1206) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1023793858
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJACOB THOMAS HENDRICKSCredential: PA-C
Location Address7998 S 1300 ESandy, UT 84094-0744
Mailing Address10433 S Redwood RdSouth Jordan, UT 84095-8502 · (801) 260-1919
Phone(801) 255-2000
Fax(801) 352-7185
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 20, 2023
Last NPPES UpdateMarch 31, 20263 updates tracked since enumeration
NPPES CertifiedMarch 31, 2026
✔ NPI 1023793858 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 · 13411972-1206
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.
7998 S 1300 E, Sandy, UT 84094
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacob Thomas Hendricks Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305208950
PECOS Enrollment IDI20230814001525
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
20 services19 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
17 services15 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
12 services11 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

Holy Cross Hospital-Jordan Valley

Acute Care Hospitals · West Jordan, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460051
Location3580 West 9000 SouthWest Jordan, UT 84088 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84094 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 5

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

GABRIELLA HAYES MOORE RN
Nurse Practitioner (Family)
7998 S 1300 E
SANDY, UT 84094
Salt Lake County (801) 609-9793
ALECZANDER MATHHEW RODRIQUEZ RN
Nurse Practitioner (Family)
7998 S 1300 E
SANDY, UT 84094
Salt Lake County (801) 609-9684
MEGAN LANCASTER P.A.
Physician Assistant
7998 S 1300 E
SANDY, UT 84094
Salt Lake County (801) 255-2000
DOUGLAS WALTER KRAHENBUHL PT
Physical Therapist
7998 S 1300 E
SANDY, UT 84094
Salt Lake County (801) 553-9330
MONICA LYNN HULL PA
Physician Assistant
7998 S 1300 E
SANDY, UT 84094
Salt Lake County (801) 255-2000

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 Jacob Hendricks's NPI number?

The NPI number for Jacob Hendricks is 1023793858. It was assigned to this individual provider in the NPPES registry on June 20, 2023.

Where is Jacob Hendricks located?

Jacob Hendricks practices at 7998 S 1300 E, Sandy, UT 84094. The listed phone number is (801) 255-2000.

What is Jacob Hendricks's specialty?

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

Is Jacob Hendricks enrolled in Medicare?

Yes. Jacob Hendricks is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jacob Hendricks accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 3 other insurers list Jacob Hendricks as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jacob Hendricks affiliated with any hospitals?

According to CMS data, Jacob Hendricks is affiliated with University Of Utah Hospitals And Clinics and Holy Cross Hospital-Jordan Valley.

When was this NPI record last updated?

The NPPES record for Jacob Hendricks was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.