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

Jesse P. Wackerbarth, MD

Individual provider Internal Medicine Physician · NPI 1902303613

Jesse P. Wackerbarth, MD is a Pulmonary Disease in Murray, Utah. Graduated from University of California, San Diego School of Medicine in 2018, 8 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Utah and Washington.

Years since qualifying
8
Trained at
University of California, San Diego School of Medicine
Licensed in
UT, WA
In the registry since
2018
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

5121 S Cottonwood St
Murray, UT 84107-5701
Phone: (801) 507-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 26 N 1900 E Rm 701, Salt Lake City, UT 84132-0002 — (801) 581-2121
  • 1959 Ne Pacific St, Seattle, WA 98195-0001 — (425) 931-7872

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 13312672-1205 (UT)
Internal Medicine Physician Taxonomy 207R00000X · Licence MD61094335 (WA)
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X · Licence 13312672-1205 (UT)

Record details

NPI number1902303613
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 9, 2018
Last updated in NPPESJanuary 29, 2026
Certification dateJanuary 29, 2026
Mailing addressPo Box 27128, Salt Lake City, UT 84127-0128

Medicare enrollment

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

Medicare specialtyPULMONARY DISEASE
Medical schoolUNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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