Individual provider Active NPI

Jess Henry Jewett, M.D.

  • Personal Emergency Response Attendant
  • Providence, UT
National Provider Identifier
1457514812
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Emergency Response AttendantTaxonomy code 146D00000X
License
720-L Issued in MS
Practice address
458 Cottage CT
Providence, UT 84332-4700
Phone
(601) 984-5570
NPI assigned
Jul 7, 2008
Last updated
Apr 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Emergency Response Attendant 146D00000X 720-L MS Primary
Emergency Medicine Physician 207P00000X 7946419-1205 UT

Addresses

Primary practice location

458 Cottage CT
Providence, UT 84332-4700

Mailing address

458 Cottage CT
Providence, UT 84332-4700
Phone (601) 906-0152

Other practice location 1

1224 8th St
Rupert, ID 83350-1599
Phone (208) 436-0481

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, HI, ID3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20110906000585 UT Practitioner - Emergency Medicine 4688869357 Reassigns benefits to 3 organizations
I20230315002409 HI Practitioner - Emergency Medicine 4688869357 Reassigns benefits to 1 organization
I20260511002205 ID Practitioner - Emergency Medicine 4688869357 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2007
Medicare assignment
May accept Medicare assignment
Group practices
The Makana North Shore ClinicGroup PAC ID 8426308883, 27 clinicians

Practice addresses (Care Compare)

Providence, UT 84332
Phone (601) 906-0152

4488 Hanalei Plantation Rd
Princeville, HI 96722-5462
Phone (808) 320-7300

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
720-LMSMDPersonal Emergency Response Attendant
7946419-1205UTMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Makana North Shore Clinic CurrentSince Dec 9, 2022 Accepting new patients
Emergency Physicians Integrated Care, LLC Emergency Medicine CurrentSince Jul 1, 2013 Accepting new patients
JHJ Wound Care PLLC Emergency Medicine CurrentSince Aug 6, 2025 Accepting new patients
Southern Health Corp. of Houston, Inc Past Accepting new patients
Chickasaw Emergency Group LLC Emergency Medicine Past Accepting new patients
McLemore Emergency Physicians Emergency Medicine PastSince Dec 18, 2007 Accepting new patients
Howcott Emergency Physicians Emergency Medicine Past Accepting new patients
Living Tree Medical Group PastSince Sep 1, 2021 Accepting new patients
Emcare Physician Providers, Inc. Emergency Medicine Past Accepting new patients
Miss-Lou Emergency Physicians Emergency Medicine Past Accepting new patients

Locations

4488 Hanalei Plantation Rd
Princeville, HI 96722
Phone (808) 320-7300

1600 W Antelope Dr
Layton, UT 84041
Phone (801) 807-1000

2380 N 400 E
North Logan, UT 84341
Phone (435) 713-9700

630 Medical Dr
North Salt Lake, UT 84010
Phone (801) 292-6231

2690 N 600 W
Pleasant View, UT 84414
Phone (801) 786-7911

3451 W 5600 S
Roy, UT 84067
Phone (801) 896-5600

333 N 300 W
Salt Lake City, UT 84103
Phone (801) 463-7415

1050 E South Temple
Slc, UT 84102
Phone (801) 350-4111

5475 S 500 E
South Ogden, UT 84405
Phone (801) 479-2111

2055 N Main St
Tooele, UT 84074
Phone (435) 843-3600

3580 W 90th S
West Jordan, UT 84088
Phone (801) 263-0810

3460 S Pioneer Pkwy
West Valley City, UT 84120
Phone (801) 562-4210

Organizations & group practices 12

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 3

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": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1457514812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "458 COTTAGE CT",
            "city": "PROVIDENCE",
            "state": "UT",
            "postal_code": "843324700",
            "telephone_number": "601-906-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "458 COTTAGE CT",
            "city": "PROVIDENCE",
            "state": "UT",
            "postal_code": "843324700",
            "telephone_number": "601-984-5570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1224 8th St",
            "address_purpose": "LOCATION",
            "city": "Rupert",
            "state": "ID",
            "postal_code": "833501599",
            "country_code": "US",
            "telephone_number": "208-436-0481",
            "fax_number": "208-436-6038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEWETT",
        "first_name": "JESS",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-07",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "",
            "desc": "Personal Emergency Response Attendant",
            "state": "MS",
            "license": "720-L",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "UT",
            "license": "7946419-1205",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, UT

Sources for this page

Verify at the official NPI Registry.