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

Jessica Petrovich, MD

Individual provider Family Medicine Physician · NPI 1265865125

Jessica Petrovich, MD is a Family Practice in Taylorsville, Utah. Graduated from Oregon Health Sciences University School of Medicine in 2017, 9 years ago. Practices with Community Health Centers Inc, a 39-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
9
Trained at
Oregon Health Sciences University School of Medicine
Licensed in
UT
In the registry since
2013
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

4745 S 3200 W
Taylorsville, UT 84129-2822
Phone: (801) 964-6214
Fax: (877) 497-4661
Show map & directions

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

Additional practice locations (1)

  • 375 S Chipeta Way, Salt Lake City, UT 84108-1260 — (801) 581-7200

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 10964121-1205 (UT)

Record details

NPI number1265865125
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 14, 2013
Last updated in NPPESJune 4, 2020
Certification dateJune 4, 2020

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Community Health Centers Inc — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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