Jared W. Henricksen, MD
Pediatric Critical Care Medicine Physician · Slc, UT
Jared W. Henricksen, MD is a pediatric critical care medicine physician with a practice address in Slc, Utah, and NPI 1396762480, issued on Jul 16, 2006. Check the license (Utah 347933-1205, as entered in NPPES) on the Utah Medical Licensing Board; the Medicare figures below come from public CMS files.
- Name
- Jared W. Henricksen
- Credential
- MD
- Primary taxonomy
- Pediatric Critical Care Medicine Physician 2080P0203X
- License number
- 347933-1205 UT
Self-reported in NPPES; status is on the state search - Practice location
- 100 Mario Capecchi Dr, Slc, UT 84113
- Phone
- (801) 662-1000
- Enumerated
- Jul 16, 2006
- Record last updated
- Apr 25, 2022
- Medicare enrollment
- Enrolled (PECOS I20080725000300); accepts Medicare assignment
- Medical or professional school
- Medical College Of Wisconsin, 2002
- Entity
- Type 1 · individual
8 nearest pediatric critical care medicine physician records → All 48 in Utah → Look up another NPI →
Also registered at 100 Mario Capecchi Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Mary Jo Grant, APRNAcute Care Nurse Practitioner1245671247
- Tricia Hoggan, NNPNeonatal Nurse Practitioner1740463595
- Stephanie Holmes, MDOrthopaedic Surgery Physician1720033079
- Dennis Johnson, MD, PHDClinical Molecular Genetics Physician1639585011
- Bonnie LarsenNeurorehabilitation Occupational Therapist1578962007
- John Smith, MDOrthopaedic Surgery Physician1255432001
Verify Jared W. Henricksen in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersUtah Medical Licensing Board
Search for license 347933-1205Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- University OF Utah Pediatric Acuity CareSalt Lake City, UT
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Jared W. Henricksen among 48 pediatric critical care medicine physician records in Utah
Jared W. Henricksen, MD is one of 48 pediatric critical care medicine physician records with a practice address in Utah. 25% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 2% of them.
- NPI issued2006 · 2% of these records are older, 71% newer
- In a Medicare fileYes · 25% of these records are
- In the CMS Doctors and Clinicians fileYes · 23% of these records are
- Graduated2002 · median 2013 among the 11 with a school on file
- Record last updated2022 · 27% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2080P0203X and a Utah practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Pediatric Critical Care Medicine Physician providers in Utah
There are 48 pediatric critical care medicine physician records in Utah.
All 48 in Utah → Every provider in Slc → Pediatric Critical Care Medicine Physician nationwide →
The 8 pediatric critical care medicine physician records with the nearest ZIP codes
- Venugopal AmulaSlc, UT 841131528268448
- Susan BrattonSalt Lake City, UT 841131508945171
- J DeanSalt Lake City, UT 841131164501730
- Heather KeenanSalt Lake City, UT 841131700965274
- Gitte LarsenSalt Lake City, UT 841131871672444
- Christopher Maloney, MD PHDSalt Lake City, UT 841131053490623
- Anne MoonSalt Lake City, UT 841131679652242
- Charles Pribble, MDSalt Lake City, UT 841131245349042
Common questions
What is Jared W. Henricksen, MD's NPI number?
Jared W. Henricksen, MD's National Provider Identifier (NPI) is 1396762480, issued on Jul 16, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Jared W. Henricksen, MD located?
The NPPES record lists a practice address at 100 Mario Capecchi Dr, Slc, UT, 84113. Phone: (801) 662-1000. Providers update this record themselves, so call before visiting.
How can I verify Jared W. Henricksen, MD's license?
NPPES lists Utah license number 347933-1205, as entered by the provider. Search the Utah Medical Licensing Board at https://secure.utah.gov/llv/search/index.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
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.