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JESSIANN ANDRUS PA
NPI 1417382789
Physician Assistant - Surgical in Salt Lake City, UT

Active since September 05, 2013PECOS EnrolledAccepts Medicare Assignment
88.82/100
CMS Quality Rating
50 N MEDICAL DR, SALT LAKE CITY, UT 84132(801) 581-2121 Get Directions Write a Review

NPPES record last updated: October 16, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 16, 2021, Jun 14, 2017 (2 updates tracked since 2017).

About Jessiann Andrus Pa NPPES

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

JESSIANN ANDRUS PA (NPI 1417382789) is an individual surgical provider in Salt Lake City, Utah, licensed in Utah (6377270-1206) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of Eastern Virginia Medical School (2013).

NPPES Registry Identity

NPI1417382789
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameJESSIANN ANDRUSCredential: PA
Location Address50 N MEDICAL DRSalt Lake City, UT 84132-3021
Mailing Address637 S Brixen CtSalt Lake City, UT 84102-3909 · (435) 590-3312
Phone(801) 581-2121
Sole ProprietorNo
Medical School CMSEastern Virginia Medical SchoolGraduated 2013
Enumeration DateSeptember 5, 2013
Last NPPES UpdateOctober 16, 20212 updates tracked since enumeration
NPPES CertifiedOctober 16, 2021
✔ NPI 1417382789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in UT · 6377270-1206
Also ListedPhysician AssistantTaxonomy 363A00000X · License 6377270-1206 (UT)
50 N MEDICAL DR, Salt Lake City, UT 84132
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, 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

Jessiann Andrus 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 ID7214165638
PECOS Enrollment IDI20161207001219
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

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
41 services28 patients

Hospital Affiliations CMS Care Compare

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

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

88.82/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.68
Promoting Interoperability100
Improvement Activities40

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 Jessiann Andrus's NPI number?

The NPI number for Jessiann Andrus is 1417382789. It was assigned to this individual provider in the NPPES registry on September 5, 2013.

Where is Jessiann Andrus located?

Jessiann Andrus practices at 50 N Medical Dr, Salt Lake City, UT 84132. The listed phone number is (801) 581-2121.

What is Jessiann Andrus's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Jessiann Andrus enrolled in Medicare?

Yes. Jessiann Andrus 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 Jessiann Andrus accept?

Health plans from Molina Healthcare and Select Health list Jessiann Andrus 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 Jessiann Andrus affiliated with any hospitals?

According to CMS data, Jessiann Andrus is affiliated with University Of Utah Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Jessiann Andrus was last updated on October 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.