Individual provider Active NPI

Jennifer A Knepper, M.D.

  • Internal Medicine Physician
  • Park City, UT
National Provider Identifier
1437196144
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
7469143-1205 Issued in UT
Practice address
1784 Uinta Way Unit E2
Park City, UT 84098-7685
Phone
(435) 604-0160
Fax
(435) 731-8328
NPI assigned
Jun 1, 2006
Last updated
Jun 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 227224 NY
Internal Medicine Physician 207R00000X 7469143-1205 UT Primary
Internal Medicine Physician 207R00000X 208397 MA

Addresses

Primary practice location

1784 Uinta Way Unit E2
Park City, UT 84098-7685

Mailing address

1784 Uinta Way Unit E2
Park City, UT 84098-7685
Phone (435) 604-0160

Other practice location 1

7724 S 5600 W Ste 102
West Jordan, UT 84081-5415
Phone (801) 432-8480

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jknepper@statmdurgentcare.com

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150930000633 UT Practitioner - Internal Medicine 5799740361 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Boston University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stat MD LLCGroup PAC ID 7719295716, 3 clinicians

Practice addresses (Care Compare)

1784 Uinta Way
Unit E2
Park City, UT 84098-7685
Phone (435) 800-5711

7724 S 5600
Suite 102
West Jordan, UT 84081-5415
Phone (435) 604-0160

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7469143-1205UTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Concierge Medicine LLC Internal Medicine CurrentSince Dec 13, 2023 Accepting new patients
Stat MD LLC CurrentSince Sep 1, 2015 Accepting new patients
Brockton Hospital, Inc. Past Accepting new patients
Stat-MD I Internal Medicine PastSince Oct 6, 2019 Accepting new patients
Jordan Physician Associates, Inc. Past Accepting new patients
Jordan Physician Associates, Inc. Family Medicine Past Accepting new patients

Locations

1784 Uinta Way
Park City, UT 84098
Phone (435) 604-0160

1784 Uinta Way
Unit E2
Park City, UT 84098
Phone (435) 604-0160

7724 S 5600 W
Ste 102
West Jordan, UT 84081
Phone (435) 604-0160

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13853/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jennifer.knepper.1@13853.direct.athenahealth.com
  • Direct secure messaging: jennifer.knepper@ghuc.eclinicaldirectplus.com

Organizations & group practices 6

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1437196144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1784 UINTA WAY UNIT E2",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840987685",
            "telephone_number": "435-604-0160",
            "fax_number": "435-731-8328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1784 UINTA WAY UNIT E2",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840987685",
            "telephone_number": "435-604-0160",
            "fax_number": "435-731-8328"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7724 S 5600 W Ste 102",
            "address_purpose": "LOCATION",
            "city": "West Jordan",
            "state": "UT",
            "postal_code": "840815415",
            "country_code": "US",
            "telephone_number": "801-432-8480",
            "fax_number": "435-731-8328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNEPPER",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-01",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "227224",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "UT",
            "license": "7469143-1205",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "208397",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jknepper@statmdurgentcare.com",
            "affiliation": "N",
            "address_1": "1784 Uinta Way Unit E2",
            "city": "Park City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840987685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Park City, UT

Sources for this page

Verify at the official NPI Registry.