JESSICA LYNN CLARK
NPI 1326863010
Family Medicine in Lehi, UT

Active since November 19, 2024PECOS Enrolled

NPPES record last updated: November 19, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jessica Lynn Clark NPPES

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

JESSICA LYNN CLARK (NPI 1326863010) is an individual family medicine provider in Lehi, Utah, licensed in Utah (9149488-3102) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1326863010
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameJESSICA LYNN CLARK
Location Address1175 E 3200 NLehi, UT 84043-5464
Mailing Address1175 E 3200 NLehi, UT 84043-5464 · (801) 407-3000
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 19, 2024
NPPES CertifiedNovember 18, 2024
✔ NPI 1326863010 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 · 9149488-3102
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.
1175 E 3200 N, Lehi, UT 84043

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Lynn Clark is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7012498314
PECOS Enrollment IDI20260225001361
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 Reassignment

Medicare enrollment records show Jessica Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nurse Practitioner
1175 E 3200 N
Lehi, UT 84043
  • Reassigned Medicare billing, Utah enrollment
  • 4 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84043 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 8

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

Nurse Practitioner (Family)
1175 E 3200 N
LEHI, UT 84043
Nurse Practitioner (Family)
1175 E 3200 N
LEHI, UT 84043
Nurse Practitioner
1175 E 3200 N
LEHI, UT 84043
Marriage & Family Therapist
1175 E 3200 N
LEHI, UT 84043
Nurse Practitioner
1175 E 3200 N
LEHI, UT 84043
Clinic/Center (Mental Health (Including Community Mental Health Center))
1175 E 3200 N
LEHI, UT 84043
Social Worker (Clinical)
1175 E 3200 N
LEHI, UT 84043
Nurse Practitioner (Family)
1175 E 3200 N
LEHI, UT 84043

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 Jessica Clark's NPI number?

The NPI number for Jessica Clark is 1326863010. It was assigned to this individual provider in the NPPES registry on November 19, 2024.

Where is Jessica Clark located?

Jessica Clark practices at 1175 E 3200 N, Lehi, UT 84043. The listed phone number is (801) 407-3000.

What is Jessica Clark's specialty?

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

Is Jessica Clark enrolled in Medicare?

Yes. Jessica Clark is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jessica Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Clark reassigns Medicare benefits to Personal Choice Medical Center Inc (Lehi, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Clark accept?

Health plans from University of Utah Health Plans list Jessica Clark 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 Jessica Clark was last updated on November 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.