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

Katrien Jack, PA-C

Individual provider Physician Assistant · NPI 1366024390

Katrien Jack, PA-C is a Physician Assistant in Roy, Utah. Graduated from University of Utah School of Medicine in 2022, 4 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
4
Trained at
University of Utah School of Medicine
Licensed in
UT
In the registry since
2021
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

1915 W 5950 S
Roy, UT 84067-1454
Phone: (801) 387-8100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1351 W 200 N, Kaysville, UT 84037 — (801) 383-3420

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 13028685-1206 (UT)

Record details

NPI number1366024390
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 28, 2021
Last updated in NPPESNovember 21, 2025
Certification dateNovember 21, 2025
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 specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2022 (4 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Roy