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

Jennica Marie Van Blerkom

Individual provider Medical Physician Assistant · NPI 1437702875

Jennica Marie Van Blerkom is a Physician Assistant in Salt Lake City, Utah. Qualified in 2019, 7 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
7
Licensed in
UT
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

389 S 900 E
Salt Lake City, UT 84102-2310
Phone: (385) 282-2750
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 11459479-1206 (UT)
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1437702875
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 23, 2019
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 specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Salt Lake City