EMILEE KELLY (AGNP) – Adult Health Nurse Practitioner, NPI 1205688421
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,655 NURSE PRACTITIONER in UT
Provider Addresses for EMILEE KELLY (AGNP)
9980 S 300 W STE 300
SANDY, UT 840703654
Phone: (801) 253-6886
Fax: (385) 900-5928
Type: Mailing
2019 E RIVERSIDE DR STE A101
ST GEORGE, UT 847908147
Phone: (801) 253-6886
Type: Location
9980 S 300 W Ste 300
Sandy, UT 840703654
Phone: (018) 273-0100
Fax: (385) 900-5928
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $1,805.
Total Amount is formed as General ($1,805) + Research ($0) + Ownership ($0) = $1,805.
Last reported payment date: 2024-10-03 • Largest payer in this snapshot: Solventum Corporation ($1,547).
Total Amount
$1,805
General + Research + Ownership
Payments
8
Total payment records
General Amount
$1,805
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Solventum Corporation | $1,547 |
| ETS Wound Care LLC | $259 |
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: 2025-07-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20240416003918 | I | Nurse Practitioner | UT | TBD |
| I20250718003517 | I | Nurse Practitioner | AZ | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84070)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | CA | |
| P O D I A T R Y | UT | |
| P O D I A T R Y | UT | |
| P O D I A T R Y | UT | |
| P O D I A T R Y | UT | |
| P O D I A T R Y | AK |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.