SANDRA BETHEL JENSE APRN
NPI 1104258763
Nurse Practitioner - Acute Care in Salt Lake City, UT

Active since August 06, 2013PECOS Enrolled
522 E 100 S, SALT LAKE CITY, UT 84102(801) 485-5055 Get Directions Write a Review

NPPES record last updated: February 25, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1104258763
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameSANDRA BETHEL JENSECredential: APRN
Location Address522 E 100 SSalt Lake City, UT 84102-1905
Mailing Address522 E 100 SSalt Lake City, UT 84102-1905 · (801) 485-5055 · Fax (801) 467-3296
Sole ProprietorYes
Enumeration DateAugust 6, 2013
Last NPPES UpdateFebruary 25, 2020
NPI 1104258763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in UT · 6617074-4405
522 E 100 S, Salt Lake City, UT 84102

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Sandra Bethel Jense Aprn 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 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.

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
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers29 claims29 services$17.13 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers31 claims31 services$82.24 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

Family Medicine
522 E 100 S
SALT LAKE CITY, UT 84102
Nurse Practitioner (Gerontology)
522 E 100 S
SALT LAKE CITY, UT 84102
Physician Assistant
522 E 100 S
SALT LAKE CITY, UT 84102
Nurse Practitioner (Adult Health)
522 E 100 S
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.

What insurance does Sandra Jense accept?

Health plans from Imperial Health Plan of the Southwest, Inc. and Molina Healthcare 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.