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

Megan Ellice Crookston

Individual provider Physician Assistant · NPI 1659773216

Megan Ellice Crookston is a Physician Assistant in South Jordan, Utah. Qualified in 2015, 11 years ago. Practices with Copperview Medical Center, LLC, an 18-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
11
Licensed in
UT
In the registry since
2014
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Practice location Address checks out

3556 W 9800 S Ste 101
South Jordan, UT 84095-3221
Phone: (801) 567-9780
Fax: (801) 567-9826
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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 9551758-1206 (UT)

Record details

NPI number1659773216
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 25, 2014
Last updated in NPPESApril 29, 2022
Certification dateMarch 7, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Copperview Medical Center, Llc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in South Jordan