Jackson Cheal, PA-S

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

13998192-1206 Issued in UT

Practice address

1201 S Main St Ste 110
Logan, UT 84321-8504

Phone

(435) 565-6043

Fax

(435) 220-2030

NPI assigned

Aug 10, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Living Tree Urgent CareGroup PAC ID 8921485954, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Living Tree Urgent Care

  • Urgent Care Clinic/Center
  • Logan, UT
  • NPI 1366112922
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1691625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1073296570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S MAIN ST STE 110",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843218504",
            "telephone_number": "435-565-6043",
            "fax_number": "435-220-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S MAIN ST STE 110",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843218504",
            "telephone_number": "435-565-6043",
            "fax_number": "435-220-2030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1635 N 200 E",
            "address_purpose": "LOCATION",
            "city": "Logan",
            "state": "UT",
            "postal_code": "843411913",
            "country_code": "US",
            "telephone_number": "435-565-6043 x02030",
            "fax_number": "435-220-2030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEAL",
        "first_name": "JACKSON",
        "credential": "PA-S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-10",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "13998192-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Travis Chamberlain
• Garrison Akio-Lee Chan, ATC, LAT
• Pamela Susan Chapman, R.D. CDE
• Rebecca Dawn Charlton, RD
• Sheldon Chatelain
• Matthew C Cheney, DMD
• Kevin Joseph CHI
• Alecia Christensen, R.D.
• Andrew Christensen
• Brock Christensen, OTR/L

• Physician Assistant in Logan, UT
• Providers in Logan, UT by specialty
• Physician Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.