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

Jessica Woeppel, PA-C

Individual provider Surgical Physician Assistant · NPI 1922874981

Jessica Woeppel, PA-C is a Physician Assistant in Salt Lake City, Utah. Qualified in 2022, 4 years ago. Practices with Granger Medical Clinic PC, a 191-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
4
Licensed in
UT
In the registry since
2023
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4252 S Highland Dr
Salt Lake City, UT 84124-2670
Phone: (801) 965-3600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3895 W 7800 S Ste 100, West Jordan, UT 84088-5616 — (801) 280-7774

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 13487669-1206 (UT)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1922874981
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedNovember 30, 2023
Last updated in NPPESFebruary 19, 2025
Certification dateFebruary 19, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Granger Medical Clinic Pc — 191 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

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