Jacie Anna Mundahl, PA-C
NPI 1134751902ActiveIndividual· Physician Assistant· Salt Lake City, UT
Physician Assistant (PA-C) with Ihc Health Services Inc, practicing in Salt Lake City, Utah. Their prescriptions cost Medicare Part D more than their services did: $193,545 for 356 claims, against $11,305 paid for services in 2024. Janssen Biotech, Inc. reported $16.78 in payments in 2025, mostly food and beverage. Lists Lds Hospital as a hospital affiliation.
Overview
| NPI | 1134751902 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Feb 10, 2020 |
| Last updated in NPPES | Feb 10, 2020 |
| Certified by provider | Feb 10, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 11609094-1206 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (UT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 40 |
|---|---|
| Services billed | 274 across 7 procedure codes |
| Paid by Medicare | $11,305 |
Part D prescriptions in 2024
| Prescriptions (claims) | 356 · 405 30-day fills |
|---|---|
| Patients | 77 |
| Total drug cost | $193,545 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Ihc Health Services IncMurray, UT · 3,960 clinicians
Hospital affiliation
- Lds HospitalSalt Lake City, UT
Industry payments (Open Payments)
- 2025$16.78 · 1 payment from 1 company
- 2024$1,633 · 8 payments from 4 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Janssen Biotech, Inc. | $16.78 | 1 |
What the 2025 payments were for
- Food and Beverage$16.78 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 470 physician assistants in Salt Lake City · All physician assistants in Utah