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MRS. JESSICA LAUREN MADERT HERZOG MD
NPI 1912035221
General Practice in Lehi, UT

Active since February 28, 2007PECOS Enrolled
3397 N 1200 E STE 103, LEHI, UT 84043(801) 797-0877(801) 290-8141 Get Directions Write a Review

NPPES record last updated: February 18, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Feb 18, 2022, Feb 15, 2017 (2 updates tracked since 2017).

About Mrs. Jessica Lauren Madert Herzog Md NPPES

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

MRS. JESSICA LAUREN MADERT HERZOG MD (NPI 1912035221) is an individual general practice provider in Lehi, Utah, licensed in Utah (8450572-1205) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1912035221
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameMRS. JESSICA LAUREN MADERT HERZOGCredential: MD
Location Address3397 N 1200 E STE 103Lehi, UT 84043-3262
Mailing Address3397 N 1200 E Ste 103Lehi, UT 84043-3262 · (801) 797-0877 · Fax (801) 290-8141
Phone(801) 797-0877
Fax(801) 290-8141
Sole ProprietorNo
Enumeration DateFebruary 28, 2007
Last NPPES UpdateFebruary 18, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2022
✔ NPI 1912035221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Licenses✔ Licensed in UT · 8450572-1205✔ Licensed in PA · MD449593
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedPediatricsTaxonomy 208000000X · License 8450572-1205 (UT), MD449593 (PA)
3397 N 1200 E STE 103, Lehi, UT 84043
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1310 Lambs Gap, Turnpaugh Health and WellnessMechanicsburg, PA 17050 · Phone (717) 795-9566 · Fax (717) 795-9567
Location 22507 Gettysburg RdCamp Hill, PA 17011-7308 · Phone (717) 961-6724

Other Identifiers 2

Other2983938PA · Highmark Blue Shield
Other420536PA · Upmc

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jessica Lauren Madert Herzog Md 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.

Referred Medical Equipment & Supplies CMS DME claims 2

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 supplier11 claims12 services$18.03 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims12 services$92.02 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Herzog's NPI number?

The NPI number for Jessica Herzog is 1912035221. It was assigned to this individual provider in the NPPES registry on February 28, 2007.

Where is Jessica Herzog located?

Jessica Herzog practices at 3397 N 1200 E Ste 103, Lehi, UT 84043. The listed phone number is (801) 797-0877.

What is Jessica Herzog's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Jessica Herzog enrolled in Medicare?

Yes. Jessica Herzog is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Herzog was last updated on February 18, 2022. 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.