Individual provider Active NPI

Jessica Stearns, D.O.

  • Colon & Rectal Surgery Physician
  • Cottonwood Heights, UT
National Provider Identifier
1538378922
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
34.009849 Issued in OH
Practice address
6975 Union Park Ave
Suite 600 Office 679
Cottonwood Heights, UT 84047
Phone
(801) 382-9006
NPI assigned
May 22, 2007
Last updated
Mar 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5101016806 MI
Colon & Rectal Surgery Physician 208C00000X 34.009849CTR OH
Student in an Organized Health Care Education/Training Program 390200000X OH
Colon & Rectal Surgery Physician 208C00000X 34.009849 OH Primary

Addresses

Primary practice location

6975 Union Park Ave
Suite 600 Office 679
Cottonwood Heights, UT 84047

Mailing address

6170 Mountain View Dr
Park City, UT 84098-6123
Phone (419) 610-3986

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
I20250916000112 UT Practitioner - Colorectal Surgery (Proctology) 2466647359 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)
Education
Ohio University, College of Osteopathic Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6170 Mountain View Dr
Park City, UT 84098-6123

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101016806MIMDInternal Medicine Physician
34.009849CTROHMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
JLP Ventures LLC CurrentSince Aug 8, 2025 Accepting new patients
Consumer Health Advocacy, Inc. CurrentSince Aug 12, 2025 Accepting new patients
Colorectal Specialists LLC Colon & Rectal Surgery Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1538378922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6170 MOUNTAIN VIEW DR",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840986123",
            "telephone_number": "419-610-3986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6975 UNION PARK AVE",
            "address_2": "SUITE 600 OFFICE 679",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "84047",
            "telephone_number": "801-382-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEARNS",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2022-03-10",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101016806",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "OH",
            "license": "34.009849CTR",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "OH",
            "license": "34.009849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottonwood Heights, UT

Sources for this page

Verify at the official NPI Registry.