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TYSON R. JERGENSEN MD
NPI 1366071227
Anesthesiology - Pain Medicine in Salt Lake City, UT

Active since April 03, 2020PECOS EnrolledAccepts Medicare Assignment
50 N MEDICAL DR, SALT LAKE CITY, UT 84132(801) 581-3622 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 18, 2026, Mar 9, 2025, Sep 10, 2021 and 1 more (4 updates tracked since 2020).

About Tyson R. Jergensen Md NPPES

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

TYSON R. JERGENSEN MD (NPI 1366071227) is an individual pain medicine provider in Salt Lake City, Utah, licensed in Utah (12404285-1205) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and maintains a secondary practice location in Layton.

NPPES Registry Identity

NPI1366071227
Entity TypeIndividualMale
Primary Taxonomy207LP2900X
Provider Legal NameTYSON R. JERGENSENCredential: MD
Location Address50 N MEDICAL DRSalt Lake City, UT 84132-0001
Mailing AddressPo Box 337Layton, UT 84041-0337 · (801) 773-4840
Phone(801) 581-3622
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2020
Enumeration DateApril 3, 2020
Last NPPES UpdateMay 18, 20264 updates tracked since enumeration
NPPES CertifiedMay 18, 2026
✔ NPI 1366071227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
License✔ Licensed in UT · 12404285-1205
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
50 N MEDICAL DR, Salt Lake City, UT 84132
Open in Google Maps ↗

Secondary Practice Location 1

Location 12121 N 1700 WLayton, UT 84041-8803 · Phone (801) 773-4840 · Fax (801) 525-8151

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.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

Tyson R. Jergensen 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 ID6901201979
PECOS Enrollment IDI20240711002652
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.

Hospital Affiliations CMS Care Compare 2

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

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

Holy Cross Hospital-Davis

Acute Care Hospitals · Layton, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460041
Location1600 West Antelope DriveLayton, UT 84041 · Davis 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.

UNIVERSITY OF UTAH ADULT SERVICES
Otolaryngology
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 587-6336
ADAM PORTER MOTR/L
Occupational Therapist
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 585-2119
DR. ERICA JANE ALEXANDRA COLVIN MD
Emergency Medicine
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2121
MEGAN MEIER MD
Internal Medicine (Rheumatology)
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2121
STACI LEE GUNTER PA-C
Physician Assistant (Surgical)
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-6908
MATTHEW D. O'DELL MD
Internal Medicine
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-7899
WATARU HORIGUCHI
Student in an Organized Health Care Education/Training Program
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2121
JEANELLE WEBB
Registered Nurse
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (925) 510-0868

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 Tyson Jergensen's NPI number?

The NPI number for Tyson Jergensen is 1366071227. It was assigned to this individual provider in the NPPES registry on April 3, 2020.

Where is Tyson Jergensen located?

Tyson Jergensen practices at 50 N Medical Dr, Salt Lake City, UT 84132. The listed phone number is (801) 581-3622.

What is Tyson Jergensen's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Tyson Jergensen enrolled in Medicare?

Yes. Tyson Jergensen 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 Tyson Jergensen accept?

Health plans from Select Health list Tyson Jergensen 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 Tyson Jergensen affiliated with any hospitals?

According to CMS data, Tyson Jergensen is affiliated with University Of Utah Hospitals And Clinics and Holy Cross Hospital-Davis.

When was this NPI record last updated?

The NPPES record for Tyson Jergensen was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.