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MARY K JEFFERSON M.S., R.D.N., C.D.
NPI 1467817270
Dietitian, Registered in Salt Lake City, UT

Active since December 21, 2015Accepts Medicare Assignment
389 S 900 E, SALT LAKE CITY, UT 84102(385) 282-2550 Get Directions Write a Review

NPPES record last updated: April 22, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mary K Jefferson M.s., R.d.n., C.d. NPPES

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

MARY K JEFFERSON M.S., R.D.N., C.D. (NPI 1467817270) is an individual dietitian, registered in Salt Lake City, Utah, licensed in Utah (94925794901) and active in the NPI registry since December 2015. She is a graduate of Other (2015).

NPPES Registry Identity

NPI1467817270
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMARY K JEFFERSONCredential: M.S., R.D.N., C.D.
Location Address389 S 900 ESalt Lake City, UT 84102-2310
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128 · (385) 282-2550
Phone(385) 282-2550
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateDecember 21, 2015
Last NPPES UpdateApril 22, 2016
✔ NPI 1467817270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in UT · 94925794901
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
389 S 900 E, Salt Lake City, UT 84102
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary K Jefferson M.s., R.d.n., C.d. 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 ID7012219009
PECOS Enrollment IDI20260313001469

Medicare Billing Reassignments

2

Medicare enrollment records show Mary Jefferson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ihc Health Services Inc
Same address
Internal Medicine
389 S 900 E
Salt Lake City, UT 84102
  • Reassigned Medicare billing, Utah enrollment
  • 3,691 clinicians in this Medicare group
NPI 1629107305 (385) 282-2000
Above Diabetes, LLC
993 mi
Dietitian, Registered
8970 COUNTY ROAD 512
Anna, TX 75409
  • Reassigned Medicare billing, Texas enrollment
  • 3 clinicians in this Medicare group
NPI 1023723079 (435) 339-0220

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 84102 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
$0.00 typical visit price
range $54.34 – $166.03
Typical copayment $0.00 (range $13.58 – $41.50)
Most-billed visit code NA
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 20

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

EMILY DO
Pharmacist
389 S 900 E
SALT LAKE CITY, UT 84102
Salt Lake County (385) 282-2595
RANDY D. RHODES D.P.M.
Podiatrist
389 S 900 E
SALT LAKE CITY, UT 84102
Salt Lake County (385) 282-2000
KELSEY DESALVO
Internal Medicine (Endocrinology, Diabetes & Metabolism)
389 S 900 E
SALT LAKE CITY, UT 84102
Salt Lake County (385) 282-2550
ALISON BATEMAN
Registered Nurse (Diabetes Educator)
389 S 900 E
SALT LAKE CITY, UT 84102
Salt Lake County (385) 282-2550
NIRA LIAT SALANT DPT
Physical Therapist
389 S 900 E
SALT LAKE CITY, UT 84102
Salt Lake County (801) 282-2000
JASON FRANKLIN HAMULA M.D.
Family Medicine
389 S 900 E
SALT LAKE CITY, UT 84102
Salt Lake County (385) 282-2000
STEVEN R. TOWNER M.D.
Internal Medicine
389 S 900 E
SALT LAKE CITY, UT 84102
Salt Lake County (385) 282-2000
DR. THOMAS L LOMBARDI M.D.
Psychiatry & Neurology (Neurology)
389 S 900 E
SALT LAKE CITY, UT 84102
Salt Lake County (385) 282-2000

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 Mary Jefferson's NPI number?

The NPI number for Mary Jefferson is 1467817270. It was assigned to this individual provider in the NPPES registry on December 21, 2015.

Where is Mary Jefferson located?

Mary Jefferson practices at 389 S 900 E, Salt Lake City, UT 84102. The listed phone number is (385) 282-2550.

What is Mary Jefferson's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Mary Jefferson enrolled in Medicare?

Yes. Mary Jefferson 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.

Which organizations bill Medicare for Mary Jefferson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Jefferson reassigns Medicare benefits to 2 organizations: Ihc Health Services Inc (Salt Lake City, UT) and Above Diabetes, LLC (Anna, TX). Each 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 Mary Jefferson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Jefferson accept?

Health plans from Baylor Scott and White Health Plan, BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and Select Health list Mary Jefferson 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 Mary Jefferson was last updated on April 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.