KEVIN JURGENSMEIER MD
NPI 1235716184
Orthopaedic Surgery - Sports Medicine in Salt Lake City, UT

Q: What is Kevin Jurgensmeier's NPI number?

The NPI number for Kevin Jurgensmeier is 1235716184. It was assigned to this individual provider in the NPPES registry on March 26, 2021.

Q: What is Kevin Jurgensmeier's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Active since March 26, 2021PECOS EnrolledAccepts Medicare Assignment

590 S WAKARA WAY RM A0058, SALT LAKE CITY, UT 84108(801) 587-5457 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 29, 2026, Aug 11, 2022, Jun 17, 2021 and 1 more (4 updates tracked since 2021).

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About Kevin Jurgensmeier Md NPPES

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

KEVIN JURGENSMEIER MD (NPI 1235716184) is an individual sports medicine provider in Salt Lake City, Utah, licensed in Utah (14279461-1205) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Hospital Rochester, and maintains a secondary practice location in Rochester.

NPPES Registry Identity

NPI1235716184

Entity TypeIndividualMale

Primary Taxonomy207XX0005X

Provider Legal NameKEVIN JURGENSMEIERCredential: MD

Location Address590 S WAKARA WAY RM A0058Salt Lake City, UT 84108-1200

Mailing Address590 S Wakara Way Rm A0058Salt Lake City, UT 84108-1200 · (801) 587-5457

Phone(801) 587-5457

Sole ProprietorNo

Medical School CMSUniversity Of Washington School Of MedicineGraduated 2021

Enumeration DateMarch 26, 2021

Last NPPES UpdateJuly 29, 20264 updates tracked since enumeration

NPPES CertifiedJuly 29, 2026

✔ NPI 1235716184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

License✔ Licensed in UT · 14279461-1205

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 31993 (MN), 71974 (MN)

590 S WAKARA WAY RM A0058, Salt Lake City, UT 84108

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Secondary Practice Location 1

Location 1200 1st St SWRochester, MN 55905-0001 · Phone (507) 284-2511

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kevin Jurgensmeier Md 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 ID5597166884

PECOS Enrollment IDI20220825001883, I20260625002371

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.

Medicare Billing Reassignments

Medicare enrollment records show Kevin Jurgensmeier reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Utah Adult Services

Same address

Physical Therapist

520 S WAKARA WAY
Salt Lake City, UT 84108

Reassigned Medicare billing, Utah enrollment
2,620 clinicians in this Medicare group

NPI 1487000287 (801) 587-6336

Mayo Clinic

1,013 mi

Infectious Disease

200 1ST ST SW
Rochester, MN 55905

Reassigned Medicare billing, Minnesota enrollment
6,534 clinicians in this Medicare group

NPI 1114343860 (507) 284-2511

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mayo Clinic Hospital Rochester

Acute Care Hospitals · Rochester, MN

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number240010

Location1216 Second Street SouthwestRochester, MN 55902 · Olmsted County

Emergency services Birthing friendly

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.

CAMERON R. GUY MD

Orthopaedic Surgery