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

Jacquelyn M. Simonis, MD

Individual provider Hospice and Palliative Medicine (Internal Medicine) Physician · NPI 1548657703

Jacquelyn M. Simonis, MD is an Emergency Medicine in Salt Lake City, Utah. Graduated from University of Utah School of Medicine in 2015, 11 years ago. Practices with Dhhs, Phs, Naihs, Gallup Indian Medical Center, a 181-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina and Utah.

Years since qualifying
11
Trained at
University of Utah School of Medicine
Licensed in
NC, UT
In the registry since
2015
Specialties on file
3
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

30 N 1900 E Rm 4C104
Salt Lake City, UT 84132-0002
Phone: (801) 585-1686
Show map & directions

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

Additional practice locations (1)

  • 1000 Blythe Blvd, Charlotte, NC 28203-5812 — (704) 446-9253

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 11849354-1205 (UT)
Hospice and Palliative Medicine (Internal Medicine) Physician Taxonomy 207RH0002X · Licence 11849354-1205 (UT)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 209357 (NC)

Record details

NPI number1548657703
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 24, 2015
Last updated in NPPESDecember 20, 2021
Certification dateDecember 20, 2021

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Also practisesHOSPICE/PALLIATIVE CARE
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Dhhs,Phs,Naihs, Gallup Indian Medical Center — 181 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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