MS. CARRIE MICHELLE JACKMAN PA-C
NPI 1760602460
Physician Assistant in Lehi, UT

Q: What is Carrie Jackman's NPI number?

The NPI number for Carrie Jackman is 1760602460. It was assigned to this individual provider in the NPPES registry on April 26, 2007.

Q: What is Carrie Jackman's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Carrie Jackman was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since April 26, 2007PECOS EnrolledAccepts Medicare Assignment

3200 W CLUBHOUSE DR STE 100, LEHI, UT 84048(385) 273-3376(385) 243-1536 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Ms. Carrie Michelle Jackman Pa-c NPPES

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

MS. CARRIE MICHELLE JACKMAN PA-C (NPI 1760602460) is an individual physician assistant in Lehi, Utah, licensed in Utah (6305663-1206) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1760602460

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMS. CARRIE MICHELLE JACKMANCredential: PA-C

Location Address3200 W CLUBHOUSE DR STE 100Lehi, UT 84048-4325

Mailing Address3200 W Clubhouse Dr Ste 100Lehi, UT 84048-4325 · (385) 273-3376 · Fax (385) 243-1536

Phone(385) 273-3376

Fax(385) 243-1536

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateApril 26, 2007

Last NPPES UpdateMarch 5, 2026

NPPES CertifiedMarch 5, 2026

✔ NPI 1760602460 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 · 6305663-1206

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.

3200 W CLUBHOUSE DR STE 100, Lehi, UT 84048

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Select Health, 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

Ms. Carrie Michelle Jackman 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 ID6709982259

PECOS Enrollment IDI20070501000115

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.

Other Providers at the Same Location NPPES 6

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

ERIC V SMART MD

Emergency Medicine (Emergency Medical Services)