Jessiann Andrus, PA
NPI 1417382789ActiveIndividual· Physician Assistant, Surgical· Salt Lake City, UT
Physician Assistant, Surgical (PA) in Salt Lake City, Utah, trained at Eastern Virginia Medical School (class of 2013). 40 Medicare patients in 2024, $4,491 paid; nearly all of their 158 Part D prescriptions were generic (92%).
Overview
| NPI | 1417382789 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Sep 5, 2013 |
| Last updated in NPPES | Oct 16, 2021 |
| Certified by provider | Oct 16, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | 6377270-1206 | UT |
| Physician Assistant | 363A00000X | 6377270-1206 | 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 | 40 |
|---|---|
| Services billed | 62 across 4 procedure codes |
| Paid by Medicare | $4,491 |
Part D prescriptions in 2024
| Prescriptions (claims) | 158 · 166 30-day fills |
|---|---|
| Patients | 66 |
| Total drug cost | $5,465 |
| Generic share | 92% of claims |
Education and affiliations
| Medical school | Eastern Virginia Medical School |
|---|---|
| Graduation year | 2013 |
| Medicare specialty | Physician Assistant |
Medical group
- University of Utah Surgical ServicesSalt Lake City, UT · 43 clinicians
Hospital affiliation
- University of Utah Hospital and ClinicsSalt Lake City, UT
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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