KIM MARIE MCKINNON (NP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1003302548
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,655 NURSE PRACTITIONER in UT
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Provider Addresses for KIM MARIE MCKINNON (NP)
8197, 5140 West, West Jordan, Salt Lake County, Utah, 84081, United States
WEST JORDAN, UT 840812705
Phone: (801) 895-6171
Type: Mailing
3898, West Innovation Drive, Riverton, Salt Lake County, Utah, 84065, United States
RIVERTON, UT 840656037
Phone: (801) 302-0660
Type: Location
45 W SEGO LILY DR STE 312
SANDY, UT 840703643
Phone: (801) 676-9452
Fax: (801) 206-9734
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 153 Open Payments records for all available years, with a total value of $3,129.
Total Amount is formed as General ($3,129) + Research ($0) + Ownership ($0) = $3,129.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($752).
Total Amount
$3,129
General + Research + Ownership
Payments
153
Total payment records
General Amount
$3,129
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $752 |
| Janssen Pharmaceuticals, Inc | $362 |
| Supernus Pharmaceuticals, Inc. | $322 |
| Teva Pharmaceuticals USA, Inc. | $185 |
| Neurocrine BioSciences, Inc. | $102 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-02-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200203001755 | I | Nurse Practitioner | UT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 44 | 11 | $0 |
Insurance plans in this area (ZIP 84081)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | UT | |
| Nurse Practitioner | UT | |
| Clinical Social Worker | UT | |
| Clinical Social Worker | UT | |
| Nurse Practitioner | UT | |
| Nurse Practitioner | UT | |
| Nurse Practitioner | UT | |
| Nurse Practitioner | UT | |
| Nurse Practitioner | UT | |
| Marriage And Family Therapist | UT |
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