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MISS MARDIENE JEFFS PA-C
NPI 1770635195
Physician Assistant in Bountiful, UT

Active since January 17, 2007PECOS Enrolled
520 MEDICAL DR, 210, BOUNTIFUL, UT 84010(801) 296-5805 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miss Mardiene Jeffs Pa-c NPPES

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

MISS MARDIENE JEFFS PA-C (NPI 1770635195) is an individual physician assistant in Bountiful, Utah, licensed in Utah (102860-1206) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770635195
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMISS MARDIENE JEFFSCredential: PA-C
Location Address520 MEDICAL DR, 210Bountiful, UT 84010-4968
Mailing Address352 W 250 NBountiful, UT 84010-7020 · (801) 856-0909
Phone(801) 296-5805
Sole ProprietorNo
Enumeration DateJanuary 17, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1770635195 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 · 102860-1206
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.
520 MEDICAL DR, Bountiful, UT 84010
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Mardiene Jeffs Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84010 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$18.03 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 17

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

BRYAN BARTHOLOMEW DO PC
Internal Medicine
520 MEDICAL DR, SUITE 200
BOUNTIFUL, UT 84010
Davis County (801) 294-9333
TODD DAYNES MD
Ophthalmology
520 MEDICAL DR, SUITE 201
BOUNTIFUL, UT 84010
Davis County (801) 294-8855
BOUNTIFUL INTERNAL MEDICINE & PULMONOLOGY ASSOCIATES LLC
Internal Medicine (Pulmonary Disease)
520 MEDICAL DR, SUITE 200
BOUNTIFUL, UT 84010
Davis County (801) 294-9333
G RICHARD ELLIS PA-C
Physician Assistant
520 MEDICAL DR, SUITE #310
BOUNTIFUL, UT 84010
Davis County (801) 397-3000
NANCY A. WEBER PA-C
Physician Assistant
520 MEDICAL DR, SUITE 340
BOUNTIFUL, UT 84010
Davis County (801) 296-6665
JOHN B LYMAN MD PC
Ophthalmology
520 MEDICAL DR, SUITE 201
BOUNTIFUL, UT 84010
Davis County (801) 292-8878
VAL R HANSEN M.D.
Internal Medicine
520 MEDICAL DR, STE 300
BOUNTIFUL, UT 84010
Davis County (801) 295-9467
GINA MARKOS CAPPS CPNP
Nurse Practitioner (Pediatrics, Critical Care)
520 MEDICAL DR
BOUNTIFUL, UT 84010
Davis County (801) 292-1464

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 Mardiene Jeffs's NPI number?

The NPI number for Mardiene Jeffs is 1770635195. It was assigned to this individual provider in the NPPES registry on January 17, 2007.

Where is Mardiene Jeffs located?

Mardiene Jeffs practices at 520 Medical Dr 210, Bountiful, UT 84010. The listed phone number is (801) 296-5805.

What is Mardiene Jeffs's specialty?

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

Is Mardiene Jeffs enrolled in Medicare?

Yes. Mardiene Jeffs is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mardiene Jeffs was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.