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
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
- 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspirus Keweenaw | Current |
Accepting new patients | |
| Aspirus Keweenaw | Current | Accepting new patients | |
| Aspirus Keweenaw | Current |
Accepting new patients | |
| Aspirus Keweenaw | Current | Accepting new patients | |
| Aspirus Ironwood Hospital & Clinics, Inc. | Current |
Accepting new patients | |
| Aspirus Ironwood Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Emergency Physicians Integrated Care, LLC | Emergency Medicine | Current |
Accepting new patients |
| Aspirus Ironwood Hospital & Clinics, Inc. | Current |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D3313 | Medicaid | UT |
NPI Registry JSON
{
"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
- Christianne Jafari
- Adiya Jaffari
- Michael Jonathan Jaffe
- Janell Lyn Jager
- Zachary James Jager
- Alyssa Marie Jahner
- Megha Jain
- Vanita Jain
- Kshama Rama Jaiswal
- Loni Jakubowski
All providers in Salt Lake City, UT · Emergency Medicine Physician in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.