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JESSICA LATHAM PA-C, MPAS
NPI 1619203015
Physician Assistant - Medical in Salt Lake City, UT

Active since October 20, 2009PECOS EnrolledAccepts Medicare Assignment
344 E 100 S, SALT LAKE CITY, UT 84111(801) 322-3222 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jessica Latham Pa-c, Mpas NPPES

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

JESSICA LATHAM PA-C, MPAS (NPI 1619203015) is an individual medical provider in Salt Lake City, Utah, licensed in Utah (7432864-1206) and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS, is affiliated with Holy Cross Hospital-jordan Valley, and maintains a secondary practice location in West Jordan.

NPPES Registry Identity

NPI1619203015
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJESSICA LATHAMCredential: PA-C, MPAS
Location Address344 E 100 SSalt Lake City, UT 84111-1700
Mailing Address3590 W 9000 S Ste 240West Jordan, UT 84088-8864 · (801) 352-8373 · Fax (801) 352-8459
Phone(801) 322-3222
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateOctober 20, 2009
Last NPPES UpdateJune 30, 2023
NPPES CertifiedJune 30, 2023
✔ NPI 1619203015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in UT · 7432864-1206
344 E 100 S, Salt Lake City, UT 84111
Open in Google Maps ↗

Secondary Practice Location 1

Location 13590 W 9000 S Ste 240West Jordan, UT 84088-8864 · Phone (801) 505-5370

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Imperial Health Plan of the Southwest, Inc., Molina Healthcare, 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

Jessica Latham Pa-c, Mpas 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 ID6608904727
PECOS Enrollment IDI20100511000956
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 4

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.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
10,100 services15 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
88 services62 patients
Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face 64615
This procedure involves injecting a chemical into specific facial and neck muscles, causing temporary paralysis. This helps reduce muscle activity and can alleviate certain medical conditions. Both sides of the face are treated for a balanced result.
51 services16 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
33 services29 patients

Hospital Affiliations CMS Care Compare

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

Holy Cross Hospital-Jordan Valley

Acute Care Hospitals · West Jordan, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460051
Location3580 West 9000 SouthWest Jordan, UT 84088 · Salt Lake 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.

JESSE ALRED
Community Health Worker
344 E 100 S, SUITE 301
SALT LAKE CITY, UT 84111
Salt Lake County (662) 213-5113
MS. KASSANDRA ROMERO
Community Health Worker
344 E 100 S, SUITE 301
SALT LAKE CITY, UT 84111
Salt Lake County (801) 322-4257
TANNA FAY ESKELSEN
Community Health Worker
344 E 100 S, 301
SLC, UT 84111
Salt Lake County (801) 322-4257
ASHLEY BASSETT
Peer Specialist
344 E 100 S, STE 301
SALT LAKE CITY, UT 84111
Salt Lake County (801) 322-4257
LAVINIA FONUA
Case Manager/Care Coordinator
344 E 100 S
SALT LAKE CITY, UT 84111
Salt Lake County (801) 322-3222
BRANDY K KOFFEL
Case Manager/Care Coordinator
344 E 100 S
SALT LAKE CITY, UT 84111
Salt Lake County (801) 322-3222
CHRISTOPHER SIMMONS
Case Manager/Care Coordinator
344 E 100 S
SALT LAKE CITY, UT 84111
Salt Lake County (801) 322-3222
JULEE MARES
Case Manager/Care Coordinator
344 E 100 S
SALT LAKE CITY, UT 84111
Salt Lake County (801) 322-3222

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 Jessica Latham's NPI number?

The NPI number for Jessica Latham is 1619203015. It was assigned to this individual provider in the NPPES registry on October 20, 2009.

Where is Jessica Latham located?

Jessica Latham practices at 344 E 100 S, Salt Lake City, UT 84111. The listed phone number is (801) 322-3222.

What is Jessica Latham's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jessica Latham enrolled in Medicare?

Yes. Jessica Latham 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 Jessica Latham accept?

Health plans from Imperial Health Plan of the Southwest, Inc., Molina Healthcare and University of Utah Health Plans list Jessica Latham 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 Jessica Latham affiliated with any hospitals?

According to CMS data, Jessica Latham is affiliated with Holy Cross Hospital-Jordan Valley.

When was this NPI record last updated?

The NPPES record for Jessica Latham was last updated on June 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.