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

Katelyn Mock, PA-S

Individual provider Dermatology Physician · NPI 1316670284

Katelyn Mock, PA-S is a Physician Assistant in Salt Lake City, Utah. Qualified in 2023, 3 years ago. Practices with Advanced Dermatology of Colorado PC, a 64-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
3
Licensed in
UT
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

50 N Medical Dr Clinic #4
Salt Lake City, UT 84132-0002
Phone: (801) 581-2719
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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 13565320-1206 (UT)
Dermatology Physician Taxonomy 207N00000X · Licence 13565320-1206 (UT)

Record details

NPI number1316670284
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-S
Sole proprietorNo
NPI enumeratedJuly 7, 2022
Last updated in NPPESMarch 4, 2024
Certification dateMarch 4, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Advanced Dermatology Of Colorado Pc — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Salt Lake City