NPIMap

Individual provider Active NPI

Jessica Rae Hunn, M.D.

  • Gynecologic Oncology Physician
  • Salt Lake City, UT
National Provider Identifier
1992978712
Registry record updated Jun 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
6019946-1205 Issued in UT
Practice address
1140 E 3900 S
Ste 340
Salt Lake City, UT 84124-1228
Phone
(801) 743-4730
Fax
(801) 743-4736
NPI assigned
Apr 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 6019946-1205 UT
Gynecologic Oncology Physician 207VX0201X 6019946-1205 UT Primary

Addresses

Primary practice location

1140 E 3900 S
Ste 340
Salt Lake City, UT 84124-1228

Mailing address

1140 E 3900 S
Ste 300
Salt Lake City, UT 84124-1228
Phone (385) 347-5450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081106000428 UT Practitioner - Gynecological OncologyPractitioner - Surgical Oncology 7810056777 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gynecological OncologyAlso: Surgical Oncology
Education
University of Utah School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1250 E 3900
Suite 200
Salt Lake City, UT 84124-1368
Phone (435) 628-1662

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of the uterus71

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6019946-1205UTMDGynecologic Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Obstetrics and Gynecology, P.C. CurrentSince Nov 1, 2017 Accepting new patients
Valley Obstetrics and Gynecology, P.C. Gynecologic Oncology Past Accepting new patients
Valley Obstetrics and Gynecology, PC Obstetrics & Gynecology Past Accepting new patients
Valley Obstetrics and Gynecology, P.C. Past Accepting new patients

Locations

585 N 500 W
Provo, UT 84601
Phone (801) 374-1801

1250 E 3900 S
Ste 200
Salt Lake Cty, UT 84124
Phone (801) 264-9521

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 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": "1207958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498780800000",
    "number": "1992978712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 E 3900 S",
            "address_2": "STE 300",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241228",
            "telephone_number": "385-347-5450",
            "fax_number": "385-474-6961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 E 3900 S",
            "address_2": "STE 340",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241228",
            "telephone_number": "801-743-4730",
            "fax_number": "801-743-4736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNN",
        "first_name": "JESSICA",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-12",
        "last_updated": "2017-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "UT",
            "license": "6019946-1205",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "UT",
            "license": "6019946-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.