1. Home
  2. Directory
  3. Utah
  4. Salt Lake City
  5. Physician Assistant
  6. NPI Profile

MRS. JESSICA SUZANNE BACIKALO PA-C
NPI 1700033024
Physician Assistant - Medical in Salt Lake City, UT

Active since August 19, 2008PECOS EnrolledAccepts Medicare Assignment
95.7/100
CMS Quality Rating
500 FOOTHILL DR, SALT LAKE CITY, UT 84148(801) 582-1565(801) 584-5647 Get Directions Write a Review

NPPES record last updated: October 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 16, 2021, Jan 13, 2017 (2 updates tracked since 2017).

About Mrs. Jessica Suzanne Bacikalo Pa-c NPPES

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

MRS. JESSICA SUZANNE BACIKALO PA-C (NPI 1700033024) is an individual medical provider in Salt Lake City, Utah, licensed in Utah (177611-1205) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1700033024
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. JESSICA SUZANNE BACIKALOCredential: PA-C
Location Address500 FOOTHILL DRSalt Lake City, UT 84148-0001
Mailing Address500 Foothill DrSalt Lake City, UT 84148-0001 · (801) 582-1565 · Fax (801) 584-5647
Phone(801) 582-1565
Fax(801) 584-5647
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateAugust 19, 2008
Last NPPES UpdateOctober 16, 20212 updates tracked since enumeration
NPPES CertifiedOctober 16, 2021
✔ NPI 1700033024 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 · 177611-1205
500 FOOTHILL DR, Salt Lake City, UT 84148
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.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

Mrs. Jessica Suzanne Bacikalo Pa-c 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 ID8921291675
PECOS Enrollment IDI20101026000768
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.

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

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.

95.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.19
Promoting Interoperability100
Improvement Activities40

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.

HUNTER BULLOCK MLS(ASCP)
Technician, Pathology (Medical Laboratory)
500 FOOTHILL DR
SALT LAKE CITY, UT 84148
Salt Lake County (801) 582-1565
NICOLAS HORTENSI
Student in an Organized Health Care Education/Training Program
500 FOOTHILL DR
SALT LAKE CITY, UT 84148
Salt Lake County (801) 582-1565
MALLORY SPEAKMAN
Registered Nurse
500 FOOTHILL DR
SALT LAKE CITY, UT 84148
Salt Lake County (801) 582-1565
FAITH FUENTES FNP-BC
Nurse Practitioner (Family)
500 FOOTHILL DR
SALT LAKE CITY, UT 84148
Salt Lake County (801) 891-8638
MR. MICHAEL THOMAS STEVENSON LCSW
Social Worker (Clinical)
500 FOOTHILL DR
SALT LAKE CITY, UT 84148
Salt Lake County (801) 582-1565
MR. LAWRENCE DIXON APRN
Nurse Practitioner (Gerontology)
500 FOOTHILL DR
SALT LAKE CITY, UT 84148
Salt Lake County (801) 582-1565
THOMAS ALAN GOOD LANCE WHITE BULL CPHT
Pharmacy Technician
500 FOOTHILL DR
SALT LAKE CITY, UT 84148
Salt Lake County (801) 582-1565
CLAYTON HAMILTON PHARMD
Pharmacist
500 FOOTHILL DR
SALT LAKE CITY, UT 84148
Salt Lake County (406) 270-7185

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 Bacikalo's NPI number?

The NPI number for Jessica Bacikalo is 1700033024. It was assigned to this individual provider in the NPPES registry on August 19, 2008.

Where is Jessica Bacikalo located?

Jessica Bacikalo practices at 500 Foothill Dr, Salt Lake City, UT 84148. The listed phone number is (801) 582-1565.

What is Jessica Bacikalo's specialty?

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

Is Jessica Bacikalo enrolled in Medicare?

Yes. Jessica Bacikalo 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 Bacikalo accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and Select Health list Jessica Bacikalo 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 Bacikalo affiliated with any hospitals?

According to CMS data, Jessica Bacikalo is affiliated with University Of Utah Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Jessica Bacikalo was last updated on October 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.