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CRISSI LEIANN WILLARDSON PA-C
NPI 1356675912
Physician Assistant in West Jordan, UT

Active since September 29, 2009PECOS Enrolled
3895 W 7800 S STE 100, WEST JORDAN, UT 84088(801) 309-6048(801) 748-2790 Get Directions Write a Review

NPPES record last updated: November 28, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Crissi Leiann Willardson Pa-c NPPES

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

CRISSI LEIANN WILLARDSON PA-C (NPI 1356675912) is an individual physician assistant in West Jordan, Utah, licensed in Arizona (4496) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356675912
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCRISSI LEIANN WILLARDSONCredential: PA-C
Location Address3895 W 7800 S STE 100West Jordan, UT 84088-5616
Mailing Address3895 W 7800 S Ste 100West Jordan, UT 84088-5616 · (801) 309-6048 · Fax (801) 748-2790
Phone(801) 309-6048
Fax(801) 748-2790
Sole ProprietorNo
Enumeration DateSeptember 29, 2009
Last NPPES UpdateNovember 28, 2019
✔ NPI 1356675912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in AZ · 4496
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3895 W 7800 S STE 100, West Jordan, UT 84088
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Other Names 1

Former Name (1)Crissi Leiann Magleby Pa-c

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Crissi Leiann Willardson Pa-c 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 84088 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
$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 3

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

KARTY DORMERA
Nurse Practitioner (Primary Care)
3895 W 7800 S STE 100
WEST JORDAN, UT 84088
Salt Lake County (801) 280-7774
BRENTEN C PUGH, MD
Family Medicine
3895 W 7800 S STE 100
WEST JORDAN, UT 84088
Salt Lake County (801) 280-7774
DANIEL WILLIAM HILL NP-C, APRN
Nurse Practitioner (Family)
3895 W 7800 S STE 100
WEST JORDAN, UT 84088
Salt Lake County (801) 748-2790

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 Crissi Willardson's NPI number?

The NPI number for Crissi Willardson is 1356675912. It was assigned to this individual provider in the NPPES registry on September 29, 2009. The provider is also known as Crissi Leiann Magleby Pa-C.

Where is Crissi Willardson located?

Crissi Willardson practices at 3895 W 7800 S Ste 100, West Jordan, UT 84088. The listed phone number is (801) 309-6048.

What is Crissi Willardson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Crissi Willardson enrolled in Medicare?

Yes. Crissi Willardson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Crissi Willardson was last updated on November 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.