Jennifer Walker, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

9291448-1206 Issued in UT

Practice address

1548 East 4500 South Suite 202
Holladay, UT 84117-5209

Phone

(801) 266-8841

Fax

(801) 266-0449

NPI assigned

May 10, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

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, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Woseth Dermatology, P.C.Group PAC ID 1557392313, 10 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.67 of 100Reported as group

Quality

96.5

Promoting interoperability

84

Improvement activities

40

Cost

89.08

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jwalker2022@woseth.emadirect.md

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.

• Woseth Dermatology, P.C.

  • Specialist
  • Salt Lake, UT
  • NPI 1457470585
  Medicare reassignment Care Compare group
• Braun Dermatology & Skin Cancer Center, P.C.

  • Dermatology Physician
  • Washington, DC
  • NPI 1285651059
  NPD (past)

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

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1104185180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 WEST DAYBREAK PARKWAY",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840091288",
            "telephone_number": "801-266-1474",
            "fax_number": "801-878-9164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1548 EAST 4500 SOUTH SUITE 202",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841175209",
            "telephone_number": "801-266-8841",
            "fax_number": "801-266-0449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-10",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DC",
            "license": "PA030842",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110003465",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "9291448-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veri Recovery LLC
• Veridicus Consulting
• Walgreen Co
• Walgreen Co
• Bradley Stephen Walker, DMD
• Lisa B. Wall
• Christopher Lee Walters, COTA/L
• Wasatch Charter School
• Wasatch Midwifery and Wellness, LLC
• Wasatch Midwifery Center, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.