Katrien Jack, PA-C
NPI 1366024390ActiveIndividual· Physician Assistant· Roy, UT
Physician Assistant (PA-C) in Roy, Utah, trained at University of Utah School of Medicine (class of 2022). 119 Medicare patients in 2024, $26,160 paid; nearly all of their 196 Part D prescriptions were generic (99%). Boston Scientific Corporation was the largest of 6 companies reporting payments in 2025, $1,411 in all, mostly travel and lodging.
Overview
| NPI | 1366024390 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Apr 28, 2021 |
| Last updated in NPPES | Nov 21, 2025 |
| Certified by provider | Nov 21, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 13028685-1206 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 | 119 |
|---|---|
| Services billed | 1,490 across 15 procedure codes |
| Paid by Medicare | $26,160 |
Part D prescriptions in 2024
| Prescriptions (claims) | 196 · 219 30-day fills |
|---|---|
| Patients | 81 |
| Total drug cost | $4,463 |
| Generic share | 99% of claims |
Education and affiliations
| Medical school | University of Utah School of Medicine |
|---|---|
| Graduation year | 2022 |
| Medicare specialty | Physician Assistant |
Medical groups
- Ihc Health Services IncMurray, UT · 3,960 clinicians
- Ogden Clinic Specialty Services LLCOgden, UT · 132 clinicians
Hospital affiliations
- Intermountain Health Layton HospitalLayton, UT
- Intermountain Health McKay-Dee HospitalOgden, UT
Industry payments (Open Payments)
- 2025$1,411 · 16 payments from 6 companies
- 2024$278.25 · 7 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Boston Scientific Corporation | $1,132 | 5 |
| Abbvie Inc. | $69.43 | 3 |
| Averitas Pharma Inc. | $69.13 | 3 |
| Merz Pharmaceuticals, LLC | $64.28 | 1 |
| Salix Pharmaceuticals, A Division of Bausch Health US, LLC | $60.70 | 3 |
What the 2025 payments were for
- Travel and Lodging$899.23 · 2 payments
- Food and Beverage$511.98 · 14 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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