NICHOLAS DEAN JENDERKO PA
NPI 1942951660
Physician Assistant in Salt Lake City, UT

Active since January 13, 2022PECOS EnrolledAccepts Medicare Assignment
92.06/100
CMS Quality Rating
2000 CIRCLE OF HOPE DR, SALT LAKE CITY, UT 84112(801) 587-7000 Get Directions Write a Review

NPPES record last updated: December 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 11, 2022, Jan 13, 2022 (2 updates tracked since 2022).

About Nicholas Dean Jenderko Pa NPPES

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

NICHOLAS DEAN JENDERKO PA (NPI 1942951660) is an individual physician assistant in Salt Lake City, Utah, licensed in Utah (12622303-1206) and active in the NPI registry since January 2022. He is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (2021).

NPPES Registry Identity

NPI1942951660
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameNICHOLAS DEAN JENDERKOCredential: PA
Location Address2000 CIRCLE OF HOPE DRSalt Lake City, UT 84112-5550
Mailing Address8843 Danton WayEden Prairie, MN 55347-5351 · (612) 839-2666
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2021
Enumeration DateJanuary 13, 2022
Last NPPES UpdateDecember 11, 20222 updates tracked since enumeration
NPPES CertifiedDecember 11, 2022
NPI 1942951660 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 · 12622303-1206
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.
2000 CIRCLE OF HOPE DR, Salt Lake City, UT 84112

Accepted Insurance

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

Nicholas Dean Jenderko Pa 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 ID9830568799
PECOS Enrollment IDI20221215001341
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

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
19 services12 patients

Hospital Affiliations CMS Care Compare

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

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.57
Promoting Interoperability100
Improvement Activities40

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.

Pharmacist
2000 CIRCLE OF HOPE DR
SALT LAKE CITY, UT 84112
Internal Medicine (Hematology & Oncology)
2000 CIRCLE OF HOPE DR, SUITE 2100
SALT LAKE CITY, UT 84112
Internal Medicine (Hematology & Oncology)
2000 CIRCLE OF HOPE DR
SALT LAKE CITY, UT 84112
Physical Therapist
2000 CIRCLE OF HOPE DR
SALT LAKE CITY, UT 84112
Speech-Language Pathologist
2000 CIRCLE OF HOPE DR
SALT LAKE CITY, UT 84112
Physician Assistant
2000 CIRCLE OF HOPE DR
SALT LAKE CITY, UT 84112
Genetic Counselor, MS
2000 CIRCLE OF HOPE DR
SALT LAKE CITY, UT 84112
Pharmacist (Oncology)
2000 CIRCLE OF HOPE DR, HUNTSMAN CANCER INSTITUTE, DEPT OF PHARMACY
SALT LAKE CITY, UT 84112

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 Nicholas Jenderko's NPI number?

The NPI number for Nicholas Jenderko is 1942951660. It was assigned to this individual provider in the NPPES registry on January 13, 2022.

Where is Nicholas Jenderko located?

Nicholas Jenderko practices at 2000 Circle Of Hope Dr, Salt Lake City, UT 84112. The listed phone number is (801) 587-7000.

What is Nicholas Jenderko's specialty?

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

Is Nicholas Jenderko enrolled in Medicare?

Yes. Nicholas Jenderko 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.

What insurance does Nicholas Jenderko accept?

Health plans from Select Health list Nicholas Jenderko 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 Nicholas Jenderko affiliated with any hospitals?

According to CMS data, Nicholas Jenderko is affiliated with University Of Utah Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Nicholas Jenderko was last updated on December 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.