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

Jessiann Andrus, PA

Individual provider Physician Assistant · NPI 1417382789

Jessiann Andrus, PA is a Physician Assistant in Salt Lake City, Utah. Graduated from Eastern Virginia Medical School in 2013, 13 years ago. Practices with University of Utah Surgical Services, a 43-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
13
Trained at
Eastern Virginia Medical School
Licensed in
UT
In the registry since
2013
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

50 N Medical Dr
Salt Lake City, UT 84132-3021
Phone: (801) 581-2121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 6377270-1206 (UT)
Physician Assistant Taxonomy 363A00000X · Licence 6377270-1206 (UT)

Record details

NPI number1417382789
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 5, 2013
Last updated in NPPESOctober 16, 2021
Certification dateOctober 16, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolEASTERN VIRGINIA MEDICAL SCHOOL
Graduated 2013 (13 years in practice)
Group practice University Of Utah Surgical Services — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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