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ERIN ANN JAQUILLARD MD
NPI 1164273785
Obstetrics & Gynecology in Salt Lake City, UT

Active since April 01, 2024PECOS Enrolled
30 N MARIO CAPECCHI DR 5S146, SALT LAKE CITY, UT 84112(801) 581-2121 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 19, 2025, Apr 1, 2024 (2 updates tracked since 2024).

About Erin Ann Jaquillard Md NPPES

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

ERIN ANN JAQUILLARD MD (NPI 1164273785) is an individual obstetrics & gynecology provider in Salt Lake City, Utah, licensed in Utah (14246772-1205) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1164273785
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameERIN ANN JAQUILLARDCredential: MD
Location Address30 N MARIO CAPECCHI DR 5S146Salt Lake City, UT 84112
Mailing Address30 N Mario Capecchi Dr 5s146Salt Lake City, UT 84112 · (801) 581-2121
Phone(801) 581-2121
Sole ProprietorNo
Enumeration DateApril 1, 2024
Last NPPES UpdateNovember 19, 20252 updates tracked since enumeration
NPPES CertifiedNovember 19, 2025
✔ NPI 1164273785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in UT · 14246772-1205
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
30 N MARIO CAPECCHI DR 5S146, Salt Lake City, UT 84112
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Other Names 1

Former Name (1)Erin Ann Gill Md

Secondary Practice Location 1

Location 1757 Westwood PlzLos Angeles, CA 90095-8358 · Phone (310) 825-9111

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Erin Ann Jaquillard 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
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 2

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

ASAVARI ATUL RAJPURKAR MD
Obstetrics & Gynecology
30 N MARIO CAPECCHI DR 5S146
SALT LAKE CITY, UT 84112
Salt Lake County (801) 213-2095
KAYLEE MARIE WOOD MD
Obstetrics & Gynecology
30 N MARIO CAPECCHI DR 5S146
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 Erin Jaquillard's NPI number?

The NPI number for Erin Jaquillard is 1164273785. It was assigned to this individual provider in the NPPES registry on April 1, 2024. The provider is also known as Erin Ann Gill MD.

Where is Erin Jaquillard located?

Erin Jaquillard practices at 30 N Mario Capecchi Dr 5s146, Salt Lake City, UT 84112. The listed phone number is (801) 581-2121.

What is Erin Jaquillard's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Erin Jaquillard enrolled in Medicare?

Yes. Erin Jaquillard is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Erin Jaquillard was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.