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KENNEDY E JENSEN MD
NPI 1073216768
Surgery in Salt Lake City, UT

Active since March 23, 2023PECOS Enrolled
30 N MARIO CAPECCHI DR RM 4S100, SALT LAKE CITY, UT 84112(801) 581-2121 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 23, 2024, Mar 23, 2023 (2 updates tracked since 2023).

About Kennedy E Jensen Md NPPES

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

KENNEDY E JENSEN MD (NPI 1073216768) is an individual surgery provider in Salt Lake City, Utah, licensed in Utah (14142519-1205) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073216768
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameKENNEDY E JENSENCredential: MD
Location Address30 N MARIO CAPECCHI DR RM 4S100Salt Lake City, UT 84112
Mailing Address30 N Mario Capecchi Dr Rm 4s100Salt Lake City, UT 84112 · (801) 581-2121
Phone(801) 581-2121
Sole ProprietorNo
Enumeration DateMarch 23, 2023
Last NPPES UpdateSeptember 23, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2024
✔ NPI 1073216768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in UT · 14142519-1205
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
30 N MARIO CAPECCHI DR RM 4S100, Salt Lake City, UT 84112
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kennedy E Jensen Md 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 84112 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 20

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

ALEXANDER SCHURMAN
Surgery (Vascular Surgery)
30 N MARIO CAPECCHI DR RM 4S100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-2121
JOCELYN DI NOLFI M.D.
Colon & Rectal Surgery
30 N MARIO CAPECCHI DR RM 4S100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-2121
MARISOL Z. MONZON MD
Surgery
30 N MARIO CAPECCHI DR RM 4S100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-2121
DR. NEEL D. BHAGAT MD
Plastic Surgery
30 N MARIO CAPECCHI DR RM 4S100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-2121
ELEANOR FRANCES KITCHELL MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
30 N MARIO CAPECCHI DR RM 4S100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-2121
PHOEBE L. LEE MD
Plastic Surgery
30 N MARIO CAPECCHI DR RM 4S100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-2121
EVAN A. CROCKETT MD
Urology
30 N MARIO CAPECCHI DR RM 4S100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-2121
MARSHALL W. WALLACE MD
Surgery
30 N MARIO CAPECCHI DR RM 4S100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-2121

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 Kennedy Jensen's NPI number?

The NPI number for Kennedy Jensen is 1073216768. It was assigned to this individual provider in the NPPES registry on March 23, 2023.

Where is Kennedy Jensen located?

Kennedy Jensen practices at 30 N Mario Capecchi Dr Rm 4s100, Salt Lake City, UT 84112. The listed phone number is (801) 581-2121.

What is Kennedy Jensen's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Kennedy Jensen enrolled in Medicare?

Yes. Kennedy Jensen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kennedy Jensen was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.