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DR. AUDREY A JIRICKO MD
NPI 1962510016
Obstetrics & Gynecology in Ogden, UT

Active since August 28, 2006PECOS EnrolledAccepts Medicare Assignment
4403 HARRISON BLVD, STE #4815, OGDEN, UT 84403(801) 387-8350(801) 387-8355 Get Directions Write a Review

NPPES record last updated: February 19, 2009. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Audrey A Jiricko Md NPPES

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

DR. AUDREY A JIRICKO MD (NPI 1962510016) is an individual obstetrics & gynecology provider in Ogden, Utah, licensed in Utah (5672616-1205) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Mckay-dee Hospital, and is a graduate of Indiana University School Of Medicine (1998).

NPPES Registry Identity

NPI1962510016
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. AUDREY A JIRICKOCredential: MD
Location Address4403 HARRISON BLVD, STE #4815Ogden, UT 84403-3271
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128 · (801) 779-6200
Phone(801) 387-8350
Fax(801) 387-8355
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1998
Enumeration DateAugust 28, 2006
Last NPPES UpdateFebruary 19, 2009
✔ NPI 1962510016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in UT · 5672616-1205✔ Licensed in UT · 56726168905
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
4403 HARRISON BLVD, Ogden, UT 84403
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Other Identifiers 2

Medicare UPINH57697
Medicare PIN000063338UT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.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

Dr. Audrey A Jiricko Md 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 ID648179218
PECOS Enrollment IDI20040819001576
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 2

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

Mckay-Dee Hospital

Acute Care Hospitals · Ogden, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460004
Location4401 Harrison BoulevardOgden, UT 84403 · Weber County
Emergency services Birthing friendly

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 84403 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
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.

BRYSON S. SMITH, MD, PC
Neurological Surgery
4403 HARRISON BLVD, SUITE 1815
OGDEN, UT 84403
Weber County (801) 387-6520
H DARRELL WOODS, M.D. P.C.
Obstetrics & Gynecology
4403 HARRISON BLVD, SUITE 4440
OGDEN, UT 84403
Weber County (801) 387-4490
IHC HEALTH SERVICES, INC
Internal Medicine (Cardiovascular Disease)
4403 HARRISON BLVD, STE 3490
OGDEN, UT 84403
Weber County (801) 387-2650
IHC HEALTH SERVICES INC
Podiatrist
4403 HARRISON BLVD, #2835
OGDEN, UT 84403
Weber County (801) 387-7945
SCOTT ALLEN ANDELIN MD
Family Medicine
4403 HARRISON BLVD, STE A-700
OGDEN, UT 84403
Weber County (801) 387-5300
DR. CURTIS M CAMPBELL MD
Urology
4403 HARRISON BLVD, SUITE 4400
OGDEN, UT 84403
Weber County (801) 387-4550
DR. JACK D WAHLEN M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4403 HARRISON BLVD, STE 3630
OGDEN, UT 84403
Weber County (801) 387-7900
DR. SARA ELIZABETH WOOD D.O.
Obstetrics & Gynecology
4403 HARRISON BLVD, STE 4815
OGDEN, UT 84403
Weber County (801) 387-8350

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 Audrey Jiricko's NPI number?

The NPI number for Audrey Jiricko is 1962510016. It was assigned to this individual provider in the NPPES registry on August 28, 2006.

Where is Audrey Jiricko located?

Audrey Jiricko practices at 4403 Harrison Blvd Ste #4815, Ogden, UT 84403. The listed phone number is (801) 387-8350.

What is Audrey Jiricko's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Audrey Jiricko enrolled in Medicare?

Yes. Audrey Jiricko 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 Audrey Jiricko accept?

Health plans from Select Health list Audrey Jiricko 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 Audrey Jiricko affiliated with any hospitals?

According to CMS data, Audrey Jiricko is affiliated with Mckay-Dee Hospital and St Mark's Hospital.

When was this NPI record last updated?

The NPPES record for Audrey Jiricko was last updated on February 19, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.