JENNA CROCKETT
NPI 1306312202
Family Medicine in Salt Lake City, UT

Active since October 17, 2018PECOS EnrolledAccepts Medicare Assignment
375 S CHIPETA WAY STE A, SALT LAKE CITY, UT 84108(808) 640-7029 Get Directions Write a Review

NPPES record last updated: October 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jenna Crockett NPPES

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

JENNA CROCKETT (NPI 1306312202) is an individual family medicine provider in Salt Lake City, Utah, licensed in Utah (00000) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS, is affiliated with Mesa View Regional Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1306312202
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameJENNA CROCKETT
Location Address375 S CHIPETA WAY STE ASalt Lake City, UT 84108-1261
Mailing Address375 S Chipeta Way Ste ASalt Lake City, UT 84108-1261
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 17, 2018
NPI 1306312202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in UT · 00000
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

375 S CHIPETA WAY STE A, Salt Lake City, UT 84108

Other Names 1

Former Name (1)Jenna Pang-ching

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 and accepts Medicare assignment

Jenna Crockett 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 ID3072940261
PECOS Enrollment IDI20200228000437
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
276 services199 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
33 services32 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
21 services21 patients

Hospital Affiliations CMS Care Compare 3

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

Mesa View Regional Hospital

Critical Access Hospitals · Mesquite, NV
1/5 CMS rating
OwnershipProprietary
CMS Certification Number291307
Location1299 Bertha Howe AvenueMesquite, NV 89027 · Clark County
Emergency services

Cedar City Hospital

Acute Care Hospitals · Cedar City, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460007
Location1303 North Main StreetCedar City, UT 84721 · Iron County
Emergency services Birthing friendly

St. George Regional Hospital

Acute Care Hospitals · St George, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460021
Location1380 East Medical Center DriveSt George, UT 84790 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84108 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.

Family Medicine
375 S CHIPETA WAY STE A
SALT LAKE CITY, UT 84108
Family Medicine
375 S CHIPETA WAY STE A
SALT LAKE CITY, UT 84108
Student in an Organized Health Care Education/Training Program
375 S CHIPETA WAY STE A
SALT LAKE CITY, UT 84108
Student in an Organized Health Care Education/Training Program
375 S CHIPETA WAY STE A
SALT LAKE CITY, UT 84108
Student in an Organized Health Care Education/Training Program
375 S CHIPETA WAY STE A
SALT LAKE CITY, UT 84108
Student in an Organized Health Care Education/Training Program
375 S CHIPETA WAY STE A
SALT LAKE CITY, UT 84108
Student in an Organized Health Care Education/Training Program
375 S CHIPETA WAY STE A
SALT LAKE CITY, UT 84108
Family Medicine
375 S CHIPETA WAY STE A
SALT LAKE CITY, UT 84108

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 Jenna Crockett's NPI number?

The NPI number for Jenna Crockett is 1306312202. It was assigned to this individual provider in the NPPES registry on October 17, 2018. The provider is also known as Jenna Pang-Ching.

Where is Jenna Crockett located?

Jenna Crockett practices at 375 S Chipeta Way Ste A, Salt Lake City, UT 84108. The listed phone number is (808) 640-7029.

What is Jenna Crockett's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jenna Crockett enrolled in Medicare?

Yes. Jenna Crockett is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jenna Crockett accept?

Health plans from Molina Healthcare, Select Health and University of Utah Health Plans list Jenna Crockett 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.

Is Jenna Crockett affiliated with any hospitals?

According to CMS data, Jenna Crockett is affiliated with Mesa View Regional Hospital, Cedar City Hospital and St. George Regional Hospital.

When was this NPI record last updated?

The NPPES record for Jenna Crockett was last updated on October 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.