Kristen Jahn, MD

Individual provider Active NPI Emergency Medicine Physician · Salt Lake City, UT

NPI 1013977537 · NPPES record last updated Apr 29, 2010

Key facts

NPI
1013977537
Entity type
Individual (NPI type 1)
Primary specialty
Emergency Medicine Physician 207P00000X
License
3083218-1205 (UT)
Practice address
1050 E South Temple
Salt Lake City, UT 84102-1507
Phone
(801) 350-4111
NPI assigned
Mar 27, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Emergency Medicine
Education
Medical College of Wisconsin, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2600 65TH Ave
Osceola, WI 54020-4376

PO Box
Suite 218
Osceola, WI 54020-0218

Merit-based Incentive Payment System (MIPS)

Final score
95.82 of 100 (group)
Quality
92.4
Promoting interoperability
100
Improvement activities
40

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in MI, WI
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20211215002222 MI Practitioner - Emergency Medicine 5395795843 Reassigns benefits to 5 organizations
I20260306003473 WI Practitioner - Emergency Medicine 5395795843 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Keweenaw Current
since Aug 14, 2021
Accepting new patients
Aspirus Keweenaw Current Accepting new patients
Aspirus Keweenaw Current
since Aug 14, 2021
Accepting new patients
Aspirus Keweenaw Current Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. Current
since Sep 1, 2024
Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. Current Accepting new patients
Emergency Physicians Integrated Care, LLC Emergency Medicine Current
since Nov 1, 2004
Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. Current
since Sep 1, 2024
Accepting new patients
Ladd Memorial Hospital Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

N10565 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500

205 Osceola St
Laurium, MI 49913
Phone (906) 337-3100

601 S 7th St
Ontonagon, MI 49953
Phone (906) 884-8000

1600 W Antelope Dr
Layton, UT 84041
Phone (801) 807-1000

1050 E South Temple
Slc, UT 84102
Phone (801) 350-4111

2500 S State St
South Salt Lake, UT 84115
Phone (385) 646-5000

2055 N Main St
Tooele, UT 84074
Phone (435) 843-3600

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 3083218-1205 UT
Emergency Medicine Physician 207P00000X 3083218-1205 UT Yes

Addresses

Primary practice location

1050 E South Temple
Salt Lake City, UT 84102-1507

Mailing address

144 S 500 E
2ND Floor
Salt Lake City, UT 84102-1907

Other identifiers

IdentifierTypeStateIssuer
D3313MedicaidUT

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 29, 2010.

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272499200000",
    "number": "1013977537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 S 500 E",
            "address_2": "2ND FLOOR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 E SOUTH TEMPLE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021507",
            "telephone_number": "801-350-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAHN",
        "first_name": "KRISTEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-27",
        "last_updated": "2010-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "UT",
            "license": "3083218-1205",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "UT",
            "license": "3083218-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D3313",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

All providers in Salt Lake City, UT · Emergency Medicine Physician in Utah

Sources for this page

Verify at the official NPI Registry.