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

Jace Melessa

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1639756448

Jace Melessa is an Anesthesiology in Provo, Utah. Graduated from Kansas City Homeopathic Medical College in 2021, 5 years ago. Practices with Mountain West Anesthesia LLC, a 265-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
5
Trained at
Kansas City Homeopathic Medical College
Licensed in
UT
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

1034 N 500 W
Provo, UT 84604-3380
Phone: (702) 562-5519
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 14199918-1204 (UT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1639756448
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 26, 2021
Last updated in NPPESMay 7, 2025
Certification dateApril 30, 2025
Mailing address3100 N. Tenaya Way Graduate Medical Education, Las Vegas, NV 89128-0431

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolKANSAS CITY HOMEOPATHIC MEDICAL COLLEGE
Graduated 2021 (5 years in practice)
Group practice Mountain West Anesthesia Llc — 265 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Provo