Individual provider Active NPI

Justin Thomas Hewlett, PA-C

  • Physician Assistant
  • Bluffdale, UT
National Provider Identifier
1467934737
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
14629 S Porter Rockwell Blvd Ste 102
Bluffdale, UT 84065-1968
Phone
(801) 410-1100
Fax
(844) 689-3196
NPI assigned
Sep 4, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X UT Primary

Addresses

Primary practice location

14629 S Porter Rockwell Blvd Ste 102
Bluffdale, UT 84065-1968

Mailing address

5848 S Fashion Blvd
Ste 110
Salt Lake City, UT 84107-6175
Phone (801) 314-4119

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210527002867 UT Practitioner - Physician Assistant 3870992696 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eon Care Clinicians PCGroup PAC ID 1052833951, 29 clinicians
Utah Endocrinology Associates PLLCGroup PAC ID 0042399172, 7 clinicians

Practice addresses (Care Compare)

14629 S Porter Rockwell Blvd
Suite 102
Bluffdale, UT 84065-1968
Phone (240) 778-6164

470 E 3900
Suite 200
Salt Lake City, UT 84107-2332
Phone (801) 747-2800

470 E 3900 S
Suite 200
Salt Lake City, UT 84107-2332

60 N 1100
American Fork, UT 84003-2952
Phone (801) 747-2800

Hospital & facility affiliations

  • American Fork Hospital Hospital, American Fork, UT, CCN 460023

Merit-based Incentive Payment System (MIPS)

Final score
91.65 of 100Reported as group
Quality
100
Improvement activities
40
Cost
72.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Eon Care Clinicians PC CurrentSince Jan 5, 2026 Accepting new patients
Steelemd CurrentSince Aug 18, 2024 Accepting new patients
Sundara Medical LLC PastSince Jan 5, 2026 Accepting new patients
Tanner Memorial Clinic Pediatrics Past Accepting new patients

Locations

20451 Seneca Meadows Pkwy
Germantown, MD 20876
Phone (301) 515-2760

14629 S Porter Rockwell Blvd
Ste 102
Bluffdale, UT 84065
Phone (801) 410-1100

310 N 850 E
Ste A
Lehi, UT 84043
Phone (385) 336-7461

Interoperability endpoints

  • Direct secure messaging: justin.hewlett.1@33872.direct.athenahealth.com
  • Direct secure messaging: jhewlett@tosc1426.srs-direct.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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1467934737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5848 S FASHION BLVD",
            "address_2": "STE 110",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841076175",
            "telephone_number": "801-314-4119",
            "fax_number": "801-314-4119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14629 S PORTER ROCKWELL BLVD STE 102",
            "city": "BLUFFDALE",
            "state": "UT",
            "postal_code": "840651968",
            "telephone_number": "801-410-1100",
            "fax_number": "844-689-3196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEWLETT",
        "first_name": "JUSTIN",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-04",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffdale, UT

Sources for this page

Verify at the official NPI Registry.