Chase Jackman, PA
NPI 1396594339ActiveIndividual· Physician Assistant· Provo, UT
Physician Assistant (PA) with Revere Health PC, practicing in Provo, Utah. Enrolled in Medicare as practitioner - physician assistant. Averitas Pharma Inc. was the largest of 2 companies reporting payments in 2025, $46.71 in all, mostly food and beverage.
Overview
| NPI | 1396594339 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | Yes |
| NPI issued | May 13, 2024 |
| Last updated in NPPES | Oct 10, 2025 |
| Certified by provider | Oct 10, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 14246720-1206 | 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) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Revere Health PCProvo, UT · 410 clinicians
Industry payments (Open Payments)
- 2025$46.71 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Averitas Pharma Inc. | $28.98 | 1 |
| Boston Scientific Corporation | $17.73 | 1 |
What the 2025 payments were for
- Food and Beverage$46.71 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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