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

Mr. Jesse A Jorgensen, PAC

Individual provider Physician Assistant · NPI 1336130889

Mr. Jesse A Jorgensen, PAC is a Physician Assistant in Layton, Utah. Graduated from University of Utah School of Medicine in 2009, 17 years ago. Practices with University of Utah Community Physicians Group, a 280-clinician group and accepts Medicare assignment. Licensed in California, Nevada and Utah.

Years since qualifying
17
Trained at
University of Utah School of Medicine
Licensed in
CA, NV, UT
In the registry since
2005
Specialties on file
3
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Practice location Address checks out

1580 W Antelope Dr Ste 100
Layton, UT 84041-1160
Phone: (801) 927-1632
Fax: (801) 927-1591
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 6124415-1206 (UT)
Physician Assistant Taxonomy 363A00000X · Licence PA907 (NV)
Physician Assistant Taxonomy 363A00000X · Licence PA17883 (CA)

Record details

NPI number1336130889
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedNovember 3, 2005
Last updated in NPPESOctober 29, 2021
Certification dateOctober 29, 2021
Mailing address1566 E 1700 S, Slc, UT 84105

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 2009 (17 years in practice)
Group practice University Of Utah Community Physicians Group — 280 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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