Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Andrea Jensen Matich, MD

Individual provider Sports Medicine (Family Medicine) Physician · NPI 1902092133

Dr. Andrea Jensen Matich, MD is a Family Practice in Draper, Utah. Graduated from Saint Louis University School of Medicine in 2005, 21 years ago. Practices with Mountainstar Specialty Services LLC, a 29-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
21
Trained at
Saint Louis University School of Medicine
Licensed in
UT
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

96 E Kimballs Ln Ste 207
Draper, UT 84020-5021
Phone: (801) 576-2300
Fax: (844) 249-1746
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 6354383-1205 (UT)

Record details

NPI number1902092133
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 21, 2007
Last updated in NPPESJanuary 20, 2020
Certification dateJanuary 20, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesSPORTS MEDICINE
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Mountainstar Specialty Services Llc — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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