NPIMap

Individual provider Active NPI

James Fearnley

  • Physician Assistant
  • Salt Lake City, UT
National Provider Identifier
1043862394
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5493808-1206 Issued in UT
Practice address
375 S Chipeta Way Ste a
Salt Lake City, UT 84108-1261
Phone
(801) 581-7234
NPI assigned
Jul 16, 2019
Last updated
Aug 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5493808-1206 UT Primary

Addresses

Primary practice location

375 S Chipeta Way Ste a
Salt Lake City, UT 84108-1261

Mailing address

2400 E 3510 S
Salt Lake City, UT 84109-3480
Phone (801) 381-7862

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jfearnley89215@direct.med.utah.edu Direct UNIVERSITY OF UTAH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, WY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201215001454 UT Practitioner - Physician Assistant 3577975606 Reassigns benefits to 1 organization
I20221027002584 WY Practitioner - Physician Assistant 3577975606 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
74.28 of 100Reported as group
Quality
48.55
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
89.01 of 100Reported as group
Quality
94.06
Promoting interoperability
100
Improvement activities
40
Cost
69.32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
South Lincoln Hospital District CurrentSince Oct 3, 2022 Accepting new patients
South Lincoln Hospital District CurrentSince Oct 3, 2022 Accepting new patients
University of Utah Community Physicians Group Past Accepting new patients
South Lincoln Hospital District Past Accepting new patients
South Lincoln Hospital District Past Accepting new patients
South Lincoln Hospital District Past Accepting new patients

Locations

711 Onyx St
Kemmerer, WY 83101
Phone (307) 877-4401

Interoperability endpoints

  • Direct secure messaging: james.fearnley.1@16971.direct.athenahealth.com

Organizations & group practices 8

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1043862394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 E 3510 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841093480",
            "telephone_number": "801-381-7862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 S CHIPETA WAY STE A",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841081261",
            "telephone_number": "801-581-7234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEARNLEY",
        "first_name": "JAMES",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-16",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "5493808-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jfearnley89215@direct.med.utah.edu",
            "affiliation": "Y",
            "affiliationName": "UNIVERSITY OF UTAH",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.