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JACE MELESSA
NPI 1639756448
Anesthesiology in Provo, UT

Active since March 26, 2021PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 7, 2025, Mar 26, 2021 (2 updates tracked since 2021).

About Jace Melessa NPPES

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

JACE MELESSA (NPI 1639756448) is an individual anesthesiology provider in Provo, Utah, licensed in Utah (14199918-1204) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with St. George Regional Hospital, and is a graduate of Kansas City Homeopathic Medical College (2021).

NPPES Registry Identity

NPI1639756448
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameJACE MELESSA
Location Address1034 N 500 WProvo, UT 84604-3380
Mailing Address3100 N. Tenaya Way Graduate Medical EducationLas Vegas, NV 89128-0431
Phone(702) 562-5519
Sole ProprietorNo
Medical School CMSKansas City Homeopathic Medical CollegeGraduated 2021
Enumeration DateMarch 26, 2021
Last NPPES UpdateMay 7, 20252 updates tracked since enumeration
NPPES CertifiedApril 30, 2025
✔ NPI 1639756448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in UT · 14199918-1204
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1034 N 500 W, Provo, UT 84604
Open in Google Maps ↗

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

Jace Melessa 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 ID9032513213
PECOS Enrollment IDI20250528003404
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.

Hospital Affiliations CMS Care Compare

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

St. George Regional Hospital

Acute Care Hospitals · St George, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460021
Location1380 East Medical Center DriveSt George, UT 84790 · Washington 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.

IHC HEALTH SERVICES INC
Radiology (Diagnostic Radiology)
1034 N 500 W
PROVO, UT 84604
Utah County (801) 357-4423
JAMES TYNAN DALY DO
Hospitalist
1034 N 500 W
PROVO, UT 84604
Utah County (801) 357-7291
ADAM R KROMMENHOEK MD
Emergency Medicine (Emergency Medical Services)
1034 N 500 W
PROVO, UT 84604
Utah County (801) 373-7850
DR. CHRISTOPHER NATHAN JOHNSON MD
Emergency Medicine
1034 N 500 W
PROVO, UT 84604
Utah County (801) 357-7850
MARGARET MICHELE MAXFIELD CCC-SLP
Speech-Language Pathologist
1034 N 500 W
PROVO, UT 84604
Utah County (801) 357-7448
DARBY MELESSE HERRMANN OTR/L
Occupational Therapist
1034 N 500 W
PROVO, UT 84604
Utah County (801) 357-7850
MRS. HOLLY YORGASON DIETITIAN
Dietitian, Registered
1034 N 500 W
PROVO, UT 84604
Utah County No phone listed
BRENT L GRIFFIN MD
Psychiatry & Neurology (Psychiatry)
1034 N 500 W
PROVO, UT 84604
Utah County (801) 357-4542

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 Jace Melessa's NPI number?

The NPI number for Jace Melessa is 1639756448. It was assigned to this individual provider in the NPPES registry on March 26, 2021.

Where is Jace Melessa located?

Jace Melessa practices at 1034 N 500 W, Provo, UT 84604. The listed phone number is (702) 562-5519.

What is Jace Melessa's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Jace Melessa enrolled in Medicare?

Yes. Jace Melessa 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.

Is Jace Melessa affiliated with any hospitals?

According to CMS data, Jace Melessa is affiliated with St. George Regional Hospital.

When was this NPI record last updated?

The NPPES record for Jace Melessa was last updated on May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.