Jacie Anna Mundahl, PA-C
Physician Assistant · Salt Lake City, UT
Jacie Anna Mundahl, PA-C is a physician assistant with a practice address in Salt Lake City, Utah, and NPI 1134751902, issued on Feb 10, 2020. Check the license (Utah 11609094-1206, as entered in NPPES) with the Utah board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Jacie Anna Mundahl
- Credential
- PA-C
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- 11609094-1206 UT
Self-reported in NPPES; status is on the state search - Practice location
- 8TH Ave C St E 80, Salt Lake City, UT 84143
- Phone
- (801) 408-1100
- Enumerated
- Feb 10, 2020
- Record last updated
- Feb 10, 2020 (not updated in 6 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20200611002575); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 1,887 in Utah → Look up another NPI →
Verify Jacie Anna Mundahl in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Utah board licenses this profession
Search for license 11609094-1206Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
57% fewer Medicare Part D claims than the average physician assistant in 2024
356 Medicare Part D claims for 77 beneficiaries, against an average of 830 among the 101,058 providers of this specialty who prescribed in Part D. Brand-name drugs were 12% of claims.
Most prescribed
- Acyclovir80 claims
- Potassium Chloride17 claims
- Sulfamethoxazole-Trimethoprim16 claims
- Lisinopril11 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Industry payments in 2024: $1,632.90
8 payments; by number, the most common kind was food and beverage; the largest payer was Novartis Pharmaceuticals Corporation. The 64,719 providers of this specialty with any payment received $841.65 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Ihc Health Services IncSalt Lake City, UT
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Jacie Anna Mundahl among 1,887 physician assistant records in Utah
Jacie Anna Mundahl, PA-C is one of 1,887 physician assistant records with a practice address in Utah. 82% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2020, is newer than 67% of them.
- NPI issued2020 · 67% of these records are older, 28% newer
- In a Medicare fileYes · 82% of these records are
- In the CMS Doctors and Clinicians fileYes · 69% of these records are
- Graduated2019 · median 2018 among the 1,302 with a school on file
- Record last updated2020 · 39% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Utah practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
462 physician assistant records list a practice address in Salt Lake City
They are 462 of the 21,563 NPPES records with a practice address in Salt Lake City, and 1,887 physician assistant records in Utah.
All 1,887 in Utah → Every provider in Salt Lake City → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Justin Adams, PA-CSalt Lake City, UT 841431265106728
- Andrea Arnold, PA-CSalt Lake City, UT 841431760622450
- Alicia BrunnerSalt Lake City, UT 841431689814352
- Peter Colasurdo, PA-CSalt Lake City, UT 841431679774970
- Cody Dunn, PASalt Lake City, UT 841431801598321
- Kelli Groomer, P.A.Salt Lake City, UT 841431568412724
- Matthew Johns, PA-CSalt Lake City, UT 841431942487533
- Jaime Luna, PA-CSalt Lake City, UT 841431790094357
Common questions
What is Jacie Anna Mundahl, PA-C's NPI number?
Jacie Anna Mundahl, PA-C's National Provider Identifier (NPI) is 1134751902, issued on Feb 10, 2020. An NPI identifies a provider in billing; it is not a license.
Where is Jacie Anna Mundahl, PA-C located?
The NPPES record lists a practice address at 8TH Ave C St E 80, Salt Lake City, UT, 84143. Phone: (801) 408-1100. Providers update this record themselves, so call before visiting.
How can I verify Jacie Anna Mundahl, PA-C's license?
NPPES lists Utah license number 11609094-1206, as entered by the provider. Search the Utah board that licenses this profession; the NPPES record confirms identity only.
How much does Jacie Anna Mundahl, PA-C prescribe under Medicare Part D?
In 2024, Jacie Anna Mundahl, PA-C had 356 Medicare Part D claims for 77 beneficiaries; the average among physician assistant prescribers was 830. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.