LIESL HADLEY PA-C
NPI 1912755323
Physician Assistant in South Jordan, UT

Q: What is Liesl Hadley's NPI number?

The NPI number for Liesl Hadley is 1912755323. It was assigned to this individual provider in the NPPES registry on May 9, 2024.

Q: What is Liesl Hadley'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 Liesl Hadley was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 May 09, 2024PECOS Enrolled

3556 W 9800 S STE 101, SOUTH JORDAN, UT 84095(801) 567-9780 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 18, 2026, Apr 23, 2026, May 9, 2024 (3 updates tracked since 2024).

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About Liesl Hadley Pa-c NPPES

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

LIESL HADLEY PA-C (NPI 1912755323) is an individual physician assistant in South Jordan, Utah, licensed in Utah (14245330-1205) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS, is affiliated with St Mark's Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1912755323

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameLIESL HADLEYCredential: PA-C

Location Address3556 W 9800 S STE 101South Jordan, UT 84095-3221

Mailing AddressPo Box 100253Atlanta, GA 30384-0253

Phone(801) 567-9780

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateMay 9, 2024

Last NPPES UpdateMay 18, 20263 updates tracked since enumeration

NPPES CertifiedMay 18, 2026

✔ NPI 1912755323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in UT · 14245330-1205

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.

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 14245330-1206 (UT)

3556 W 9800 S STE 101, South Jordan, UT 84095

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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)

Liesl Hadley Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9133616055

PECOS Enrollment IDI20251014003905

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.

St Mark's Hospital

Acute Care Hospitals · Salt Lake City, UT

3/5 CMS rating

OwnershipProprietary

CMS Certification Number460047

Location1200 East 3900 SouthSalt Lake City, UT 84124 · Salt Lake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84095 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 16

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

KATELYN JANAE HARRISON FNP-C

Nurse Practitioner (Family)