Individual provider

Jennifer Walker, P.A.

Physician Assistant Medicare enrolled

Jennifer Walker, P.A. is a Physician Assistant in Holladay, UT, registered under NPI 1104185180.

Getting there

The practice address on file is 1548 EAST 4500 SOUTH SUITE 202, Holladay, UT 84117. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1548 EAST 4500 SOUTH SUITE 202, Holladay, UT 84117 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
9291448-1206 UT Physician Assistant primary
PA030842 DC Physician Assistant
0110003465 VA Physician Assistant

Licences are recorded in 3 states: UT, DC, VA. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Physician Assistant
PAC ID
3375855331

Medicare enrolment is recorded as approved under the provider type Practitioner - Physician Assistant. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 3 states

This provider holds licences in 3 states: District of Columbia, Utah and Virginia. The practice address on file is in Holladay, UT, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

DC District of Columbia
Licence
PA030842
Specialty
Physician Assistant
Verify with the DC board →
UT Utah practice address
Licence
9291448-1206
Specialty
Physician Assistant
Verify with the UT board →
VA Virginia
Licence
0110003465
Specialty
Physician Assistant
Verify with the VA board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Physician Assistant covers

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. NUCC Health Care Provider Taxonomy, code 363A00000X
Physician Assistants & Advanced Practice Nursing Providers Physician Assistant

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363A00000X Physician Assistant 9291448-1206 UT primary
363A00000X Physician Assistant PA030842 DC
363A00000X Physician Assistant 0110003465 VA

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1104185180 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMay 10, 2012
Last updatedJun 26, 2023
StatusActive
Sole proprietorNo
CredentialP.A.
Practice address 1548 EAST 4500 SOUTH SUITE 202
Holladay, UT 84117
(801) 266-8841
Fax (801) 266-0449
Mailing address 4040 WEST DAYBREAK PARKWAY
South Jordan, UT 84009
The last update on file is Jun 26, 2023. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1104185180 passes the NPI check digit test The final digit 0 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 1 8 5 1 8
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 2 8 1 1 7

Sum = 50 · next multiple of 10 = 50 · check digit = 0 · actual last digit = 0

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104185180?
NPI 1104185180 is the National Provider Identifier assigned to Jennifer Walker, P.A. in Holladay, UT. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Physician Assistant cover?
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…
How do I contact Jennifer Walker, P.A.?
The phone number on file with NPPES is (801) 266-8841, last updated Jun 26, 2023. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Jennifer Walker, P.A. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1104185180 a valid number?
Yes. 1104185180 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.