Individual provider Active NPI

Jeffrey J Pulley, PA-C

  • Physician Assistant
  • North Logan, UT
National Provider Identifier
1912233305
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
7492129-1206 Issued in UT
Practice address
2310 N 400 E
Suite a
North Logan, UT 84341-1788
Phone
(435) 787-2000
Fax
(435) 787-1913
NPI assigned
Oct 20, 2009
Last updated
Apr 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 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 7492129-1206 UT Primary

Addresses

Primary practice location

2310 N 400 E
Suite a
North Logan, UT 84341-1788

Mailing address

PO Box 27128
Suite a
Salt Lake City, UT 84127-0128

Other practice location 1

1350 N 500 E
Logan, UT 84341-2400
Phone (435) 716-1980

Other identifiers 1

IdentifierTypeStateIssuer
461820MedicaidUT

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Bluemark LLC/ Office Ally

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, ID2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20091210000712 UT Practitioner - Physician Assistant 9436299187 Reassigns benefits to 2 organizations
I20260316000849 ID Practitioner - Physician Assistant 9436299187 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
At Still Un of HLTH Sciences, Col of Osteo Med, Mesa, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alpine Management and ConsultingGroup PAC ID 5496659245, 21 clinicians

Practice addresses (Care Compare)

2310 N 400
Suite a
North Logan, UT 84341-1796
Phone (435) 787-2000

64 N 1St
Suite 201
Preston, ID 83263-1326
Phone (208) 852-1295

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Salt Lake Orthopaedic Specialist, LLC CurrentSince Nov 1, 2016 Accepting new patients
Salt Lake Orthopaedic Specialist, LLC Past Accepting new patients

Locations

1521 E 3900 S
Ste 200
Salt Lake City, UT 84124
Phone (801) 262-8486

1160 E 3900 S
Ste 4050
Salt Lake Cty, UT 84124
Phone (801) 262-8486

2326 N 400 E
Ste 102
Tooele, UT 84074
Phone (435) 241-6444

Interoperability endpoints

  • Direct secure messaging: jpulley@alpineortho.emadirect.md

Organizations & group practices 5

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 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": "1255996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1912233305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27128",
            "address_2": "SUITE A",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 N 400 E",
            "address_2": "SUITE A",
            "city": "NORTH LOGAN",
            "state": "UT",
            "postal_code": "843411788",
            "telephone_number": "435-787-2000",
            "fax_number": "435-787-1913"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1350 N 500 E",
            "address_purpose": "LOCATION",
            "city": "Logan",
            "state": "UT",
            "postal_code": "843412400",
            "country_code": "US",
            "telephone_number": "435-716-1980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PULLEY",
        "first_name": "JEFFREY",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-20",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "7492129-1206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "461820",
            "state": "UT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.3",
            "affiliationName": "Bluemark LLC/ Office Ally",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CMS esMD eMDR",
            "address_1": "1300 SE Cardinal Ct Ste 190",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986839683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Logan, UT

Sources for this page

Verify at the official NPI Registry.