JORDAN LOVELL SHUMWAY PA, ATC
NPI 1932733771
Physician Assistant in Salt Lake City, UT

Active since March 02, 2020PECOS EnrolledAccepts Medicare Assignment
333 N 300 W, SALT LAKE CITY, UT 84103(801) 463-7415 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jordan Lovell Shumway Pa, Atc NPPES

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

JORDAN LOVELL SHUMWAY PA, ATC (NPI 1932733771) is an individual physician assistant in Salt Lake City, Utah, licensed in Utah (12227421-1206) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1932733771
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJORDAN LOVELL SHUMWAYCredential: PA, ATC
Location Address333 N 300 WSalt Lake City, UT 84103-1215
Mailing Address2326 W 11625 SRiverton, UT 84095-7936 · (385) 208-8376
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 2, 2020
Last NPPES UpdateAugust 19, 2025
NPPES CertifiedAugust 19, 2025
NPI 1932733771 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 · 12227421-1206
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.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X · License BOC373277 (UT)
333 N 300 W, Salt Lake City, UT 84103

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jordan Lovell Shumway Pa, Atc 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 ID244673572
PECOS Enrollment IDI20240203000008
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
32 services32 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84103 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 12

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

Physician Assistant
333 N 300 W
SALT LAKE CITY, UT 84103
Emergency Medicine
333 N 300 W
SALT LAKE CITY, UT 84103
Emergency Medicine
333 N 300 W
SALT LAKE CITY, UT 84103
Clinic/Center (Dental)
333 N 300 W
SALT LAKE CITY, UT 84103
Emergency Medicine
333 N 300 W
SALT LAKE CITY, UT 84103
Emergency Medicine
333 N 300 W
SALT LAKE CITY, UT 84103
Emergency Medicine
333 N 300 W
SALT LAKE CITY, UT 84103
Emergency Medicine
333 N 300 W
SALT LAKE CITY, UT 84103

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 Jordan Shumway's NPI number?

The NPI number for Jordan Shumway is 1932733771. It was assigned to this individual provider in the NPPES registry on March 2, 2020.

Where is Jordan Shumway located?

Jordan Shumway practices at 333 N 300 W, Salt Lake City, UT 84103. The listed phone number is (801) 463-7415.

What is Jordan Shumway's specialty?

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

Is Jordan Shumway enrolled in Medicare?

Yes. Jordan Shumway 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.

When was this NPI record last updated?

The NPPES record for Jordan Shumway was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.