Jasmine Sharifan

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

12691635-1206 Issued in UT

Practice address

5926 Fashion Point Dr Ste 120
Ogden, UT 84403-4547

Phone

(801) 747-2800

NPI assigned

Aug 26, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Utah Endocrinology Associates PLLCGroup PAC ID 0042399172, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Intermountain Health McKay-Dee Hospital Hospital, Ogden, UT, CCN 460004
• Ogden Regional Medical Center Hospital, Ogden, UT, CCN 460005
• Evanston Regional Hospital Hospital, Evanston, WY, CCN 531319

Merit-based Incentive Payment System (MIPS)

Final score

91.65 of 100Reported as group

Quality

100

Improvement activities

40

Cost

72.17

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Utah Endocrinology Associates PLLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Salt Lake City, UT
  • NPI 1417121609
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Columbia Ogden Medical Center, Inc.

  • General Acute Care Hospital
  • Ogden, UT
  • NPI 1720031636
  Care Compare affiliation
• Ihc Health Services Inc

  • General Acute Care Hospital
  • Ogden, UT
  • NPI 1194749580
  Care Compare affiliation
• Evanston Hospital Corporation

  • General Acute Care Hospital
  • Evanston, WY
  • NPI 1639140015
  Care Compare affiliation

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656633600000",
    "number": "1205449402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5926 FASHION POINT DR STE 120",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844034547",
            "telephone_number": "801-747-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5926 FASHION POINT DR STE 120",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844034547",
            "telephone_number": "801-747-2800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "470 E 3900 S Ste 200",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841072332",
            "country_code": "US",
            "telephone_number": "801-747-2800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHARIFAN",
        "first_name": "JASMINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-26",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "UT",
            "license": "12691635-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher M Shale, M.D.
• Jenna Shaner
• Justin Shannon
• Brandon Shapiro
• Tiffany Shapiro
• Karin M Sharp, DPT
• Zackary Shaughnessy, PT
• Dawntae Shaw
• John Leroy Shaw, RPH
• Rebecca Shaw

• Medical Physician Assistant in Ogden, UT
• Providers in Ogden, UT by specialty
• Medical Physician Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; 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.