Jefferson M Allen, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

10174452-1206 Issued in UT

Practice address

360 S 1300 W
Pleasant Grove, UT 84062-3761

Phone

(385) 440-1400

Fax

(801) 845-9965

NPI assigned

Dec 5, 2016

Last updated

Jul 29, 2026By the provider in NPPES

Sex

Male

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jallen@pfm.gwaydirect.com

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.

• Alexanders Fitness Company LLC

  dba ALX Family Health

  • Physical Medicine & Rehabilitation Physician
  • Lindon, UT
  • NPI 1518583566
  Medicare reassignment
• Premier Family Medical

  • Family Medicine Physician
  • Pleasant Grove, UT
  • NPI 1750725735
  Medicare reassignment
• Premier Family Medical - City Center

  • Family Medicine Physician
  • Eagle Mountain, UT
  • NPI 1649160235
  NPD
• Premier Family Medical - Lehi

  • Family Medicine Physician
  • Lehi, UT
  • NPI 1568806545
  NPD
• Aspen Consolidated Health LLC

  dba Prime Meridian Health Clinics, LLC

  • Family Medicine Physician
  • Pleasant Grove, UT
  • NPI 1851921993
  NPD (past)
• Prime Meridian Health Clinics

  • General Practice Physician
  • Pleasant Grove, UT
  • NPI 1255251039
  NPD (past)

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

{
    "created_epoch": "1480896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1396289799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 S 1300 W",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840623761",
            "telephone_number": "385-440-1400",
            "fax_number": "801-845-9965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 S 1300 W",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840623761",
            "telephone_number": "385-440-1400",
            "fax_number": "801-845-9965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "JEFFERSON",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-05",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "10174452-1206",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "UT",
            "license": "10174452-1206",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caleb Martin Alexander Jr.
• Alignment and Performance Center of Utah, PLLC
• All Kind Cleaning Service LLC
• Ashlee Fay Allan, CSW
• Douglas A Allen, D.O.
• Kristie Leigh Allred
• Marie-Claire Alonso-Rodriguez
• Alpine Pediatrics
• Alpine Pediatrics, PC
• Alternative Health Center, Inc

• Physician Assistant in Pleasant Grove, UT
• Providers in Pleasant Grove, UT by specialty
• Physician Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.