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

Jackson Cheal, PA-S

Individual provider Physician Assistant · NPI 1073296570

Jackson Cheal, PA-S is a Physician Assistant in Logan, Utah. Qualified in 2024, 2 years ago. Practices with Living Tree Urgent Care, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
2
Licensed in
UT
In the registry since
2023
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Practice location Address checks out

1201 S Main St Ste 110
Logan, UT 84321-8504
Phone: (435) 565-6043
Fax: (435) 220-2030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1635 N 200 E, Logan, UT 84341-1913 — (435) 565-6043

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 13998192-1206 (UT)

Record details

NPI number1073296570
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-S
Sole proprietorNo
NPI enumeratedAugust 10, 2023
Last updated in NPPESSeptember 15, 2025
Certification dateSeptember 15, 2025
Mailing address1201 S Main St Ste 110, Logan, UT 84321-8504

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Living Tree Urgent Care — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Logan