Jennifer Jean Clark, PA
NPI 1730631490ActiveIndividual· Physician Assistant· Provo, UT
Physician Assistant (PA) with Ihc Health Services Inc, practicing in Provo, Utah. 133 Medicare patients in 2024, $10,501 paid; nearly all of their 163 Part D prescriptions were generic (99%).
Overview
| NPI | 1730631490 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Oct 28, 2016 |
| Last updated in NPPES | Dec 3, 2022 |
| Certified by provider | Dec 3, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 10132491-1206 | 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); Practitioner - Physician Assistant (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 133 |
|---|---|
| Services billed | 225 across 41 procedure codes |
| Paid by Medicare | $10,501 |
Part D prescriptions in 2024
| Prescriptions (claims) | 163 · 165 30-day fills |
|---|---|
| Patients | 132 |
| Total drug cost | $1,728 |
| Generic share | 99% of claims |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Ihc Health Services IncMurray, UT · 3,960 clinicians
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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