KRISSA WRIGHT (PA-C) – Medical Physician Assistant, NPI 1063662963

KRISSA WRIGHT (PA-C) is a healthcare provider. based in Salt lake city, Utah. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 1084648 (UT). The NPI Number for KRISSA WRIGHT (PA-C) is 1063662963

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
KRISSA WRIGHT (PA-C)
NPI
1063662963
Phone
(801) 582-1565
Address
500 FOOTHILL BLVD
Enumeration Date
26 September 2008
Last Update Date
29 November 2021

Doctor Profile

Medical School Name
UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Secondary Phone
8012134500
Graduation Year
2008 (18 years ago)
PAC ID
2668645797
Group Practice PAC ID
9739403569
Professional Enrollment ID
I20161109002257

Contacts

Secure Messaging
kwright211770@direct.med.utah.edu
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:17State licenses:1Other namesUpdated within 12 months

1,971 PHYSICIAN ASSISTANT in UT

Provider Addresses for KRISSA WRIGHT (PA-C)

  • 500, Foothill Drive, Salt Lake City, Salt Lake County, Utah, 84148, United States

    SALT LAKE CITY, UT 841480001

    Phone: (801) 582-1565

    Fax: (801) 584-2576

    Type: Mailing

  • VA SLC HCS

    500 FOOTHILL DRIVE

    SALT LAKE CITY, UT 841480001

    Phone: (801) 582-1565

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2016-11-09

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161109002257IPhysician AssistantUTTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes7978$0
99213Established patient office or other outpatient visit, 20-29 minutes3232$0
99204New patient office or other outpatient visit, 45-59 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 84148)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9739403569View full group profile
NameSpecialtyState
P O D I A T R YUT
Physician AssistantUT
Physician AssistantUT
P O D I A T R YIA
Physician AssistantUT
Physician AssistantUT
Physician AssistantTX
Family PracticeUT
Physician AssistantHI
Family PracticeUT

Reviews

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Frequently asked questions

What is the 10-digit NPI for KRISSA WRIGHT (PA-C)?
KRISSA WRIGHT (PA-C) — NPI 1063662963 — is the standard way to identify this listing.
Can I rely on KRISSA WRIGHT (PA-C) being an active provider?
As of the registry snapshot, KRISSA WRIGHT (PA-C) is marked active.
What is KRISSA WRIGHT (PA-C)'s specialty?
The listing groups KRISSA WRIGHT (PA-C) with Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What area does KRISSA WRIGHT (PA-C) serve?
KRISSA WRIGHT (PA-C)'s listing highlights Salt Lake City, Utah; more addresses can appear in NPPES.
Is the information about KRISSA WRIGHT (PA-C) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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