Individual provider Active NPI

Alanna Brooke Jorgensen, PA

  • Medical Physician Assistant
  • Salt Lake City, UT
National Provider Identifier
1538896337
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
13052546-1206 Issued in UT
Practice address
6360 S 3000 E Ste 310
Salt Lake City, UT 84121-6939
Phone
(801) 944-3144
NPI assigned
Aug 2, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X UT
Medical Physician Assistant 363AM0700X 13052546-1206 UT Primary

Addresses

Primary practice location

6360 S 3000 E Ste 310
Salt Lake City, UT 84121-6939

Mailing address

6360 S 3000 E Ste 220
Salt Lake City, UT 84121-6924

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
I20221020001325 UT Practitioner - Physician Assistant 9931575685 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Utah Gastroenterology LLCGroup PAC ID 9830174150, 71 clinicians

Practice addresses (Care Compare)

1187 E 3900
Salt Lake City, UT 84124-1201
Phone (801) 263-3041

620 Medical Dr
Suite 205
Bountiful, UT 84010-5173
Phone (801) 298-0057

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.45 of 100Reported as group
Quality
47.08
Promoting interoperability
95
Improvement activities
40
Cost
75.26

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Utah Gastroenterology CurrentSince Oct 27, 2022 Accepting new patients

Locations

620 Medical Dr
Ste 205
Bountiful, UT 84010
Phone (801) 298-0057

13953 S Bangerter Pkwy
Draper, UT 84020
Phone (385) 900-4090

38 W 13775 S
Ste 100
Draper, UT 84020
Phone (801) 727-4280

6360 S 3000 E
Ste 310
Salt Lake Cty, UT 84121
Phone (801) 944-3144

6360 S 3000 E
Ste 220
Salt Lake Cty, UT 84121
Phone (801) 944-3195

1187 E 3900 S
Salt Lake Cty, UT 84124
Phone (801) 263-3041

368 E Riverside Dr
Ste A
St George, UT 84790
Phone (435) 673-1149

Interoperability endpoints

  • FHIR API: https://4af267b3-0b17-4e37-b82c-3c19f9bce5de.gastro.prod.fhir.ema-api.com/fhir/r4/

Organizations & group practices 2

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 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": "1659398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1538896337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6360 S 3000 E STE 220",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841216924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6360 S 3000 E STE 310",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841216939",
            "telephone_number": "801-944-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORGENSEN",
        "first_name": "ALANNA",
        "middle_name": "BROOKE",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-02",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "UT",
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "UT",
            "license": "13052546-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.