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JESSICA LIU MCMULLIN M.D.
NPI 1912393919
Surgery in Salt Lake City, UT

Active since April 07, 2015PECOS EnrolledAccepts Medicare Assignment
1950 CIRCLE OF HOPE DR, SALT LAKE CITY, UT 84112(801) 587-8808 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 10, 2024, Aug 5, 2022, Jul 5, 2022 (3 updates tracked since 2022).

About Jessica Liu Mcmullin M.d. NPPES

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

JESSICA LIU MCMULLIN M.D. (NPI 1912393919) is an individual surgery provider in Salt Lake City, Utah, licensed in Utah (13439574-1205) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of Emory University School Of Medicine (2015).

NPPES Registry Identity

NPI1912393919
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameJESSICA LIU MCMULLINCredential: M.D.
Location Address1950 CIRCLE OF HOPE DRSalt Lake City, UT 84112-5500
Mailing Address30 North Mario Capecchi DriveSalt Lake City, UT 84112
Phone(801) 587-8808
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 2015
Enumeration DateApril 7, 2015
Last NPPES UpdateSeptember 10, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2024
✔ NPI 1912393919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in UT · 13439574-1205
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1950 CIRCLE OF HOPE DR, Salt Lake City, UT 84112
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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jessica Liu Mcmullin M.d. 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 ID6305227372
PECOS Enrollment IDI20231002000821
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jessica Mcmullin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Utah Adult Services
Same address
Hematology & Oncology
1950 CIRCLE OF HOPE DR STE 600
Salt Lake City, UT 84112
  • Reassigned Medicare billing, Utah enrollment
  • 2,620 clinicians in this Medicare group
NPI 1205216264 (801) 587-6336
University Of Alabama Health Services Foundation, PC
1,459 mi
Clinical Medical Laboratory
720 20TH ST S
Birmingham, AL 35233
  • Reassigned Medicare billing, Alabama enrollment
  • 4,494 clinicians in this Medicare group
NPI 1164617205 (205) 934-4983

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84112 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.

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.

BMT DIVISION DEPARTMENT OF UNIVERSITY OF UTAH
Internal Medicine (Hematology & Oncology)
1950 CIRCLE OF HOPE DR
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-2121
SETH YOUKSTETTER PA-C
Physician Assistant
1950 CIRCLE OF HOPE DR
SALT LAKE CITY, UT 84112
Salt Lake County (801) 585-0100
STEPHANIE BAKER NEERINGS MSN, APRN, FNP-BC
Nurse Practitioner (Family)
1950 CIRCLE OF HOPE DR
SALT LAKE CITY, UT 84112
Salt Lake County (801) 587-7000
STEPHANIE ANNA SANDERS PHARM.D.
Pharmacist
1950 CIRCLE OF HOPE DR, SUITE 2110
SALT LAKE CITY, UT 84112
Salt Lake County (801) 587-4272
MS. ERICA JANE FARR PA-C
Physician Assistant (Medical)
1950 CIRCLE OF HOPE DR, SUITE 2810
SALT LAKE CITY, UT 84112
Salt Lake County (801) 213-5688
KATE BLAKE NP
Nurse Practitioner
1950 CIRCLE OF HOPE DR
SALT LAKE CITY, UT 84112
Salt Lake County (801) 587-7000
THU M TRAN PHARMD
Pharmacist (Oncology)
1950 CIRCLE OF HOPE DR, SUITE 2110, PHARMACY SERVICES
SALT LAKE CITY, UT 84112
Salt Lake County (801) 587-4475
BRIDGET SANFORD
Student in an Organized Health Care Education/Training Program
1950 CIRCLE OF HOPE DR
SALT LAKE CITY, UT 84112
Salt Lake County (801) 587-7000

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 Mcmullin's NPI number?

The NPI number for Jessica Mcmullin is 1912393919. It was assigned to this individual provider in the NPPES registry on April 7, 2015.

Where is Jessica Mcmullin located?

Jessica Mcmullin practices at 1950 Circle Of Hope Dr, Salt Lake City, UT 84112. The listed phone number is (801) 587-8808.

What is Jessica Mcmullin's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Jessica Mcmullin enrolled in Medicare?

Yes. Jessica Mcmullin 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 Jessica Mcmullin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Mcmullin reassigns Medicare benefits to 2 organizations: University Of Utah Adult Services (Salt Lake City, UT) and University Of Alabama Health Services Foundation, PC (Birmingham, AL). 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 Jessica Mcmullin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Mcmullin accept?

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

According to CMS data, Jessica Mcmullin is affiliated with St Luke's Regional Medical Center and University Of Utah Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Jessica Mcmullin was last updated on September 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.