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MARY ROSBACH PA-C
NPI 1922797620
Physician Assistant in Salt Lake City, UT

Active since May 08, 2023PECOS Enrolled
1160 E 3900 S STE 2000, SALT LAKE CITY, UT 84124(801) 266-3418 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 19, 2026, Jun 4, 2025, Sep 27, 2024 and 2 more (5 updates tracked since 2023).

About Mary Rosbach Pa-c NPPES

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

MARY ROSBACH PA-C (NPI 1922797620) is an individual physician assistant in Salt Lake City, Utah, licensed in Utah (14185235-1206) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922797620
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARY ROSBACHCredential: PA-C
Location Address1160 E 3900 S STE 2000Salt Lake City, UT 84124-1236
Mailing AddressPo Box 741729Atlanta, GA 30374-1729
Phone(801) 266-3418
Sole ProprietorNo
Enumeration DateMay 8, 2023
Last NPPES UpdateMay 19, 20265 updates tracked since enumeration
NPPES CertifiedMay 19, 2026
✔ NPI 1922797620 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 · 14185235-1206
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.
1160 E 3900 S STE 2000, Salt Lake City, UT 84124
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Rosbach 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 84124 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 19

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

DR. STEPHANIE RAE CONTRERAS LOWDER FNP-BC
Nurse Practitioner
1160 E 3900 S STE 2000
SALT LAKE CITY, UT 84124
Salt Lake County (801) 266-3418
DECHIE S. DONEEN PA-C
Physician Assistant
1160 E 3900 S STE 2000
SALT LAKE CITY, UT 84124
Salt Lake County (801) 266-3418
VAMSEE MOHAN YAGANTI MD
Internal Medicine (Interventional Cardiology)
1160 E 3900 S STE 2000
SALT LAKE CITY, UT 84124
Salt Lake County (801) 266-3418
SARAH LYN WAGSTAFF DNP
Nurse Practitioner (Family)
1160 E 3900 S STE 2000
SALT LAKE CITY, UT 84124
Salt Lake County (801) 266-3418
PAIGE JACQUELINE NAVARRO FNP-C
Nurse Practitioner
1160 E 3900 S STE 2000
SALT LAKE CITY, UT 84124
Salt Lake County (801) 266-3418
SCOTT BREWSTER MD
Internal Medicine (Interventional Cardiology)
1160 E 3900 S STE 2000
SALT LAKE CITY, UT 84124
Salt Lake County (801) 266-3418
DIANE R RUSSELL FNP
Nurse Practitioner
1160 E 3900 S STE 2000
SALT LAKE CITY, UT 84124
Salt Lake County (801) 266-3418
DR. DAMIAN JERZY DOMANSKI M.D.
Internal Medicine (Cardiovascular Disease)
1160 E 3900 S STE 2000
SALT LAKE CITY, UT 84124
Salt Lake County (801) 266-3418

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 Mary Rosbach's NPI number?

The NPI number for Mary Rosbach is 1922797620. It was assigned to this individual provider in the NPPES registry on May 8, 2023.

Where is Mary Rosbach located?

Mary Rosbach practices at 1160 E 3900 S Ste 2000, Salt Lake City, UT 84124. The listed phone number is (801) 266-3418.

What is Mary Rosbach's specialty?

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

Is Mary Rosbach enrolled in Medicare?

Yes. Mary Rosbach is registered in the Medicare PECOS enrollment system.

What insurance does Mary Rosbach accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Mary Rosbach 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.

When was this NPI record last updated?

The NPPES record for Mary Rosbach was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.