Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Annamichelle Kay Pack, PA-C

Individual provider Physician Assistant · NPI 1619790672

Annamichelle Kay Pack, PA-C is a Physician Assistant in Salt Lake City, Utah. Qualified in 2024, 2 years ago. Practices with University of Utah Adult Services, a 1,740-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
2
Licensed in
UT
In the registry since
2024
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

50 N Medical Dr # LEVEL1
Salt Lake City, UT 84132-0001
Phone: (801) 585-7676
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 14164525-1206 (UT)

Record details

NPI number1619790672
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 6, 2024
Last updated in NPPESDecember 9, 2025
Certification dateDecember 9, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice University Of Utah Adult Services — 1740 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at University of Utah Adult Services

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 1740 clinicians in the practice; 12 are shown here.

Other providers in Salt Lake City