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
- Entity
- Type 1 · individual
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 832 among the 95,030 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 Medicare quality score for 2023: 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, mostly food and beverage; the largest payer was Medtronic, Inc.. The 61,144 providers of this specialty with any payment received $853.85 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.
2 hospital and facility affiliations
- Ihc Health Services IncRoy, UT
- Ogden Clinic Specialty Services LLCOgden, UT
Source: CMS Doctors and Clinicians affiliations; Hospital General Information (Care Compare) (data.cms.gov). Star ratings are CMS hospital ratings, not ratings of this provider.
12 physician assistant records list a Roy practice address
They are 12 of the 407 NPPES records with a Roy practice address, and 1,726 physician assistant records in Utah.
Other physician assistant records in Utah
- Saeed Abbaszadeh, PA-CSalt Lake City, UT1720003544
- Christopher AbbottDraper, UT1932592110
- Jared Abrams, PA-CWashington Terrace, UT1679836951
- Claire Ackerman, PA-CSalt Lake City, UT1083343438
- Holly Adams, PA-CLehi, UT1952959405
- Isabella AdamsMurray, UT1427925049
- Jeffrey Adams, PACLayton, UT1689791709
- Justin Adams, PA-CSalt Lake City, UT1265106728
- Madison Adams, PA-CSalt Lake City, UT1851805998
- Zachary Adams, PA-SSouth Jordan, UT1326785684
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 832. Part D covers Medicare prescriptions only.
What is Katrien Jack, PA-C's Medicare quality 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), loaded Aug 27, 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.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 27, 2026.