JORDAN KONCINSKY MD, MS
NPI 1659803294
Psychiatry & Neurology - Child & Adolescent Psychiatry in Salt Lake City, UT
About Jordan Koncinsky Md, Ms NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JORDAN KONCINSKY MD, MS (NPI 1659803294) is an individual child & adolescent psychiatry provider in Salt Lake City, Utah, licensed in Utah (10964186-1205) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and is a graduate of University Of Utah School Of Medicine (2017).
NPPES Registry Identity
Specialties & Licenses 3
Accepted 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
Jordan Koncinsky Md, Ms 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.
Medicare Billing Reassignments
2Medicare enrollment records show Jordan Koncinsky reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Salt Lake City, UT 84132
- Reassigned Medicare billing, Utah enrollment
- 295 clinicians in this Medicare group
Salt Lake City, UT 84113
- Reassigned Medicare billing, Utah enrollment
- 751 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
SALT LAKE CITY, UT 84113
SALT LAKE CITY, UT 84113
SALT LAKE CITY, UT 84113
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 Jordan Koncinsky's NPI number?
The NPI number for Jordan Koncinsky is 1659803294. It was assigned to this individual provider in the NPPES registry on April 3, 2017.
Where is Jordan Koncinsky located?
Jordan Koncinsky practices at 81 N Mario Capecchi Dr, Salt Lake City, UT 84113. The listed phone number is (801) 662-5702.
What is Jordan Koncinsky's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.
Is Jordan Koncinsky enrolled in Medicare?
Yes. Jordan Koncinsky 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 Jordan Koncinsky's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Koncinsky reassigns Medicare benefits to 2 organizations: University Of Utah Behavioral Health Services (Salt Lake City, UT) and University Of Utah Pediatric Services (Salt Lake City, UT). 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 Jordan Koncinsky's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jordan Koncinsky accept?
Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Jordan Koncinsky 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 Jordan Koncinsky was last updated on October 20, 2022. 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.
# Jordan Koncinsky, MD, MS · NPI 1659803294
Child & Adolescent Psychiatry physician in Salt Lake City, Utah. Individual provider, active in the CMS NPPES registry since April 3, 2017.
## Identity
- **NPI:** 1659803294 (Entity type: Individual)
- **Enumerated:** April 3, 2017
- **Primary specialty:** Psychiatry & Neurology - Child & Adolescent Psychiatry · taxonomy 2084P0804X
- **State license:** 10964186-1205 (Utah)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 81 N MARIO CAPECCHI DR, Salt Lake City, UT 84113-1125
- **Phone:** (801) 662-5702
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): University Of Utah Behavioral Health Services (NPI 1669853750, Salt Lake City, UT); University Of Utah Pediatric Services (NPI 1023472594, Salt Lake City, UT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Utah School Of Medicine, class of 2017
## Record status
- **NPPES last updated:** October 20, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1659803294) · Data from the CMS NPPES public registry.