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TINA XU
NPI 1548960958
Physician Assistant in Salt Lake City, UT

Active since March 06, 2023PECOS Enrolled
375 S CHIPETA WAY, SALT LAKE CITY, UT 84108(801) 581-7766 Get Directions Write a Review

NPPES record last updated: April 3, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 3, 2026, Mar 24, 2023, Mar 6, 2023 (3 updates tracked since 2023).

About Tina Xu NPPES

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

TINA XU (NPI 1548960958) is an individual physician assistant in Salt Lake City, Utah, licensed in Utah (14248057-1206) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1548960958
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTINA XU
Location Address375 S CHIPETA WAYSalt Lake City, UT 84108-1260
Mailing Address375 S Chipeta WaySalt Lake City, UT 84108-1260
Phone(801) 581-7766
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 6, 2023
Last NPPES UpdateApril 3, 20263 updates tracked since enumeration
NPPES CertifiedApril 3, 2026
✔ NPI 1548960958 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 · 14248057-1206
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.
375 S CHIPETA WAY, Salt Lake City, UT 84108
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tina Xu is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9739655606
PECOS Enrollment IDI20260417001353
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 84108 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 20

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

SAMUEL RUSH OSIMITZ
Physician Assistant
375 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 581-7766
ANA ESTHER MORA
Student in an Organized Health Care Education/Training Program
375 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 581-7766
REBECCA ABBEY MD
Family Medicine
375 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-3411
XIOMARA N. BRISENO PA-C
Physician Assistant
375 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 581-7766
BRIAN HILL
Family Medicine (Sports Medicine)
375 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-3411
KIA WILSON PA
Physician Assistant
375 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 674-1405
DR. ERIN ELIZABETH MCADAMS M.D.
General Practice
375 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-3411
MARISSA MUSE
Physician Assistant
375 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 581-7766

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 Tina Xu's NPI number?

The NPI number for Tina Xu is 1548960958. It was assigned to this individual provider in the NPPES registry on March 6, 2023.

Where is Tina Xu located?

Tina Xu practices at 375 S Chipeta Way, Salt Lake City, UT 84108. The listed phone number is (801) 581-7766.

What is Tina Xu's specialty?

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

Is Tina Xu enrolled in Medicare?

Yes. Tina Xu is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tina Xu was last updated on April 3, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.