JESSICA MARIE PERSSON
NPI 1144049321
Nurse Practitioner - Family in Salt Lake City, UT

Q: What is Jessica Persson's NPI number?

The NPI number for Jessica Persson is 1144049321. It was assigned to this individual provider in the NPPES registry on October 7, 2024.

Q: What is Jessica Persson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Persson was last updated on March 23, 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.

Active since October 07, 2024PECOS EnrolledAccepts Medicare Assignment

1160 E 3900 S STE 5000, SALT LAKE CITY, UT 84124(801) 261-7479(801) 261-7429 Get Directions Write a Review

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

Record update history: Mar 23, 2026, Feb 2, 2026, Oct 7, 2024 (3 updates tracked since 2024).

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About Jessica Marie Persson NPPES

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

JESSICA MARIE PERSSON (NPI 1144049321) is an individual family provider in Salt Lake City, Utah, licensed in Utah (14270510-4405) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1144049321

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJESSICA MARIE PERSSON

Location Address1160 E 3900 S STE 5000Salt Lake City, UT 84124-1275

Mailing AddressPo Box 100253Atlanta, GA 30384-0253

Phone(801) 261-7479

Fax(801) 261-7429

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateOctober 7, 2024

Last NPPES UpdateMarch 23, 20263 updates tracked since enumeration

NPPES CertifiedMarch 23, 2026

✔ NPI 1144049321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in UT · 14270510-4405

1160 E 3900 S STE 5000, Salt Lake City, UT 84124

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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 and accepts Medicare assignment

Jessica Marie Persson 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 ID6608341243

PECOS Enrollment IDI20260410001959

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 84124 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.

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.

JEFFREY D JACKSON MD

Orthopaedic Surgery