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

Stacie Helene Jones, PA-C

Individual provider Medical Physician Assistant · NPI 1992493563

Stacie Helene Jones, PA-C is a Physician Assistant in Eagle Mountain, Utah. Qualified in 2023, 3 years ago. Practices with Revere Health PC, a 410-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
3
Licensed in
UT
In the registry since
2023
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

4095 E Pony Express Pkwy Ste 1
Eagle Mountain, UT 84005-5531
Phone: (801) 429-8037
Fax: (801) 418-0941
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 13396008-1206 (UT)
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1992493563
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 1, 2023
Last updated in NPPESMay 31, 2023
Certification dateMay 31, 2023

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 Revere Health Pc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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