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CHASE JACKMAN PA
NPI 1396594339
Physician Assistant in Provo, UT

Active since May 13, 2024PECOS EnrolledAccepts Medicare Assignment
1055 N 500 W STE 121, BLDG C, PROVO, UT 84604(801) 373-7350(801) 812-5401 Get Directions Write a Review

NPPES record last updated: October 10, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Oct 10, 2025, May 13, 2024 (2 updates tracked since 2024).

About Chase Jackman Pa NPPES

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

CHASE JACKMAN PA (NPI 1396594339) is an individual physician assistant in Provo, Utah, licensed in Utah (14246720-1206) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS, maintains a secondary practice location in Orem, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1396594339
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameCHASE JACKMANCredential: PA
Location Address1055 N 500 W STE 121, BLDG CProvo, UT 84604-3305
Mailing Address1055 N 500 WProvo, UT 84604-3305 · (801) 354-8225 · Fax (801) 418-0941
Phone(801) 373-7350
Fax(801) 812-5401
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateMay 13, 2024
Last NPPES UpdateOctober 10, 20252 updates tracked since enumeration
NPPES CertifiedOctober 10, 2025
✔ NPI 1396594339 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 UT · 14246720-1206
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.
1055 N 500 W STE 121, BLDG C, Provo, UT 84604
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Secondary Practice Location 1

Location 1700 W 800 N Ste 100Orem, UT 84057-6301 · Phone (801) 373-7350 · Fax (801) 224-5337

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include University of Utah Health Plans.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

Chase Jackman Pa 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 ID2062902281
PECOS Enrollment IDI20251106002808
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 84604 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.

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 Chase Jackman's NPI number?

The NPI number for Chase Jackman is 1396594339. It was assigned to this individual provider in the NPPES registry on May 13, 2024.

Where is Chase Jackman located?

Chase Jackman practices at 1055 N 500 W Ste 121, Bldg C, Provo, UT 84604. The listed phone number is (801) 373-7350.

What is Chase Jackman's specialty?

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

Is Chase Jackman enrolled in Medicare?

Yes. Chase Jackman 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 Chase Jackman accept?

Health plans from University of Utah Health Plans list Chase Jackman 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 Chase Jackman was last updated on October 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.