Katrien Jack , PA-C
Physician Assistant • Roy, UT
Professional Overview & Biography Verified Profile Summary
Katrien Jack, PA-C is a certified Physician Assistant practicing in Roy, UT. With approximately 4 years of clinical experience since graduating from University Of Utah School Of Medicine in 2022, Katrien Jack delivers high-quality medical care to the local community at 1915 W 5950 S.
Katrien Jack maintains professional affiliations with Ihc Health Services Inc, Ogden Clinic Specialty Services Llc and accepts Medicare assignment.
Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.
Practice Location & Contact Primary Location
1915 W 5950 S
Roy, UT 840671454
Medicare Profile & Education
University Of Utah School Of Medicine
2022
✓ Accepts Assignment
In-Person Only
Specialty Benchmarks & Practice Insights
Comparative analytics for Physician Assistant in Roy, UT
Practicing in Roy, UT (1904 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Clinical Seniority & Experience Comparison
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
127 | 62 | $182.00 | $102.62 |
|
G2211
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
|
98 | 52 | $24.00 | $13.34 |
|
99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
|
58 | 46 | $255.00 | $144.28 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
28 | 28 | $254.00 | $135.06 |
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
23 | 21 | $133.00 | $73.08 |
|
99205
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
|
11 | 11 | $312.00 | $178.20 |
Medical Specialties & State Licenses
CMS Verified: 2025-11-21NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Hospital & Practice Group Affiliations
Ihc Health Services Inc
1915 W 5950, Roy, UT 840671454
Phone: 8013878100
Ogden Clinic Specialty Services Llc
4700 Harrison Blvd, Ogden, UT 844034303
Phone: 8014753300
Ogden Clinic Specialty Services Llc
4650 Harrison Blvd, Ogden, UT 844034303
Phone: 8014753482
Secondary Practice Locations
1351 W 200 N
Kaysville, UT 84037
Phone: 8013833420
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Family Medicine
Doctor of Medicine (M.D.)
Family Medicine
Doctor of Osteopathic Medicine (D.O.)
Family Medicine
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant
Family Medicine
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant (Certified)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 1915 W 5950 S, ROY, UT 840671454 (Tel: 8013878100)
Registered at PO BOX 27128, SALT LAKE CITY, UT 841270128
Registered at 1351 W 200 N, KAYSVILLE, UT 84037 (Tel: 8013833420)
Registered at 1916 N 700 W STE 250, LAYTON, UT 840415723 (Tel: 8014790312)
Registered at PO BOX 5546, DENVER, CO 802175546 (Tel: 8014753500)
Recorded as KATRIEN JACK, PA-C
Physician Assistant (License #13028685-1206 in UT)
NPI status registered as active in NPPES database
Registered at 652 S 600 E APT 7, ST GEORGE, UT 847703762 (Tel: 4353132317)
Registered at 652 S 600 E APT 7, ST GEORGE, UT 847703762 (Tel: 4353132317)
Recorded as KATRIEN JACK
Student in an Organized Health Care Education/Training Program
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
Verified patient ratings, medical care experiences, and facility photos
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NPI Administrative Meta
Mailing Address
Po Box 27128
Salt Lake City, UT 841270128
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