Katrien Jack, PA-C
Physician Assistant · Roy, UT
Katrien Jack, PA-C is a physician assistant with a practice address in Roy, Utah, and NPI 1366024390, issued on Apr 28, 2021. Check the license (Utah 13028685-1206, as entered in NPPES) with the Utah board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Katrien Jack
- Credential
- PA-C
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- 13028685-1206 UT
Self-reported in NPPES; status is on the state search - Practice location
- 1915 W 5950 S, Roy, UT 84067
- Phone
- (801) 387-8100
- Enumerated
- Apr 28, 2021
- Record last updated
- Nov 21, 2025
- Medicare enrollment
- Enrolled (PECOS I20221209002387); accepts Medicare assignment
- Medical or professional school
- University Of Utah School Of Medicine, 2022
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 1,887 in Utah → Look up another NPI →
Also registered at 1915 W 5950 S
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Nicholas Biggs, PA-CPhysician Assistant1225791114
- Zachary Campbell, M.D.Family Medicine Physician1326068974
- Kurtis Ellis, M.D.Family Medicine Physician1013150218
- Laura Giove, DOFamily Medicine Physician1831625995
- Jared Hiatt, DOFamily Medicine Physician1093155988
- Kevin Johnson, MDFamily Medicine Physician1942799002
Verify Katrien Jack in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Utah board licenses this profession
Search for license 13028685-1206Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
76% fewer Medicare Part D claims than the average physician assistant in 2024
196 Medicare Part D claims for 81 beneficiaries, against an average of 830 among the 101,058 providers of this specialty who prescribed in Part D. 47 claims were for opioids.
Most prescribed
- Tizanidine Hcl31 claims
- Diazepam24 claims
- Celecoxib18 claims
- Oxycodone-Acetaminophen18 claims
- Cyclobenzaprine Hcl11 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.
The practice group's MIPS final score for 2023 (Medicare payment program): 82.8 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $278.25
7 payments; by number, the most common kind was food and beverage; the largest payer was Medtronic, Inc. 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 2 group practices
- Ihc Health Services IncRoy, UT
- Ogden Clinic Specialty Services LLCOgden, UT
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Katrien Jack among 1,887 physician assistant records in Utah
Katrien Jack, 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 2021, is newer than 72% of them.
- NPI issued2021 · 72% of these records are older, 21% newer
- In a Medicare fileYes · 82% of these records are
- In the CMS Doctors and Clinicians fileYes · 69% of these records are
- Graduated2022 · median 2018 among the 1,302 with a school on file
- Record last updated2025 · 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).
13 physician assistant records list a practice address in Roy
They are 13 of the 407 NPPES records with a practice address in Roy, and 1,887 physician assistant records in Utah.
All 1,887 in Utah → Every provider in Roy → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Thatcher Allred, PARoy, UT 840671760100085
- Van Aston, PA-CRoy, UT 840671548530140
- Nicholas Biggs, PA-CRoy, UT 840671225791114
- Mary Boyette, PA-CRoy, UT 840671649745449
- Kerry Cox, PA-CRoy, UT 840671992477632
- Micheal Dawson, PA-CRoy, UT 840671376853036
- Lucius Gordon, PA-CRoy, UT 840671396814778
- Rodney Grogan, PA-CRoy, UT 840671114915170
Common questions
What is Katrien Jack, PA-C's NPI number?
Katrien Jack, PA-C's National Provider Identifier (NPI) is 1366024390, issued on Apr 28, 2021. An NPI identifies a provider in billing; it is not a license.
Where is Katrien Jack, PA-C located?
The NPPES record lists a practice address at 1915 W 5950 S, Roy, UT, 84067. Phone: (801) 387-8100. Providers update this record themselves, so call before visiting.
How can I verify Katrien Jack, PA-C's license?
NPPES lists Utah license number 13028685-1206, as entered by the provider. Search the Utah board that licenses this profession; the NPPES record confirms identity only.
How much does Katrien Jack, PA-C prescribe under Medicare Part D?
In 2024, Katrien Jack, PA-C had 196 Medicare Part D claims for 81 beneficiaries; the average among physician assistant prescribers was 830. Part D covers Medicare prescriptions only.
What is Katrien Jack, PA-C's MIPS final score?
The 2023 MIPS final score is 82.8 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
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.