Individual provider Active NPI

Allison Jensen Sabin, PA-C

  • Physician Assistant
  • Tooele, UT
National Provider Identifier
1811582836
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
119789631206 Issued in UT
Practice address
1244 N Main St Ste 201
Tooele, UT 84074-9839
Phone
(435) 882-3968
NPI assigned
Mar 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

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 119789631206 UT Primary

Addresses

Primary practice location

1244 N Main St Ste 201
Tooele, UT 84074-9839

Mailing address

4102 Quail Run
Provo, UT 84604-5204
Phone (316) 518-5066

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
I20210618000836 UT Practitioner - Physician Assistant 8921408592 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
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

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

State licenses

LicenseStateTypeSpecialty
119789631206UTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Utah Gastroenterology CurrentSince Jun 7, 2021 Accepting new patients
Utah Gastroenterology LLC CurrentSince Jun 7, 2021 Accepting new patients

Locations

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

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 3

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 6

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": "1614643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1811582836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4102 QUAIL RUN",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846045204",
            "telephone_number": "316-518-5066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 N MAIN ST STE 201",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840749839",
            "telephone_number": "435-882-3968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABIN",
        "first_name": "ALLISON",
        "middle_name": "JENSEN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-02",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "119789631206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tooele, UT

Sources for this page

Verify at the official NPI Registry.