SANDRA BETHEL JENSE APRN
NPI 1104258763
Nurse Practitioner - Acute Care in Salt Lake City, UT
About Sandra Bethel Jense Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SANDRA BETHEL JENSE APRN (NPI 1104258763) is an individual acute care provider in Salt Lake City, Utah, licensed in Utah (6617074-4405) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sandra Bethel Jense Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Sandra Jense reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Salt Lake City, UT 84111
- Reassigned Medicare billing, Idaho and Utah enrollments
- 5 clinicians in this Medicare group
Salt Lake City, UT 84132
- Reassigned Medicare billing, Utah enrollment
- 2,620 clinicians in this Medicare group
West Jordan, UT 84088
- Reassigned Medicare billing, Utah enrollment
- 4 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
SALT LAKE CITY, UT 84102
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 Sandra Jense's NPI number?
The NPI number for Sandra Jense is 1104258763. It was assigned to this individual provider in the NPPES registry on August 6, 2013.
Where is Sandra Jense located?
Sandra Jense practices at 522 E 100 S, Salt Lake City, UT 84102. The listed phone number is (801) 485-5055.
What is Sandra Jense's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Sandra Jense enrolled in Medicare?
Yes. Sandra Jense is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Sandra Jense's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Jense reassigns Medicare benefits to 3 organizations: Ma Bo Inc (Salt Lake City, UT), University Of Utah Adult Services (Salt Lake City, UT) and Cottonwood Medical Clinic Inc (West Jordan, UT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sandra Jense's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sandra Jense accept?
Health plans from Imperial Health Plan of the Southwest, Inc. list Sandra Jense 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.
When was this NPI record last updated?
The NPPES record for Sandra Jense was last updated on February 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Sandra Bethel Jense, APRN · NPI 1104258763
Acute Care physician in Salt Lake City, Utah. Individual provider, active in the CMS NPPES registry since August 6, 2013.
## Identity
- **NPI:** 1104258763 (Entity type: Individual)
- **Enumerated:** August 6, 2013
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 6617074-4405 (Utah)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 522 E 100 S, Salt Lake City, UT 84102-1905
- **Phone:** (801) 485-5055
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Ma Bo Inc (NPI 1588185581, Salt Lake City, UT); University Of Utah Adult Services (NPI 1003210808, Salt Lake City, UT); Cottonwood Medical Clinic Inc (NPI 1972992477, West Jordan, UT) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 25, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1104258763) · Data from the CMS NPPES public registry.