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

Nicholas Dean Jenderko, PA

Individual provider Physician Assistant · NPI 1942951660

Nicholas Dean Jenderko, PA is a Physician Assistant in Salt Lake City, Utah. Graduated from University of Iowa, Rj & L Carver College of Medicine in 2021, 5 years ago. Practices with University of Utah Adult Services, a 1,740-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
5
Trained at
University of Iowa, Rj & L Carver College of Medicine
Licensed in
UT
In the registry since
2022
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2000 Circle Of Hope Dr
Salt Lake City, UT 84112-5550
Phone: (801) 587-7000
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 12622303-1206 (UT)

Record details

NPI number1942951660
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 13, 2022
Last updated in NPPESDecember 11, 2022
Certification dateDecember 11, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice University Of Utah Adult Services — 1740 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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