KELLIE GARRETT – Advanced Practice Midwife, NPI 1275102782

KELLIE GARRETT is a healthcare provider. based in Salt lake city, Utah. specializing in CERTIFIED NURSE MIDWIFE (CNM). They hold a License No. 11330909-4405 (UT). The NPI Number for KELLIE GARRETT is 1275102782

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
KELLIE GARRETT
NPI
1275102782
Phone
Not provided
Address
PO BOX 27128
Enumeration Date
18 June 2021
Last Update Date
28 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2022 (4 years ago)
PAC ID
8820453996
Group Practice PAC ID
1850209420
Professional Enrollment ID
I20230424002609
Address ID
UT840657296RI3723X1260300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:4State licenses:2Digital endpointsOther names

113 CERTIFIED NURSE MIDWIFE (CNM) in UT

Provider Addresses for KELLIE GARRETT

  • PO BOX 27128

    SALT LAKE CITY, UT 841270128

    Phone:

    Type: Mailing

  • 3723 W 12600 S STE 360

    RIVERTON, UT 840657296

    Phone: (801) 285-4700

    Fax: (801) 285-4701

    Type: Location

  • 226 W RIDGE RD

    SARATOGA SPRINGS, UT 840456407

    Phone: (801) 674-9118

    Type: Mailing

  • 226 W Ridge Rd

    Saratoga Springs, UT 840456407

    Phone: (801) 674-9118

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $125.

Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.

Last reported payment date: 2024-05-30 • Largest payer in this snapshot: Astellas Pharma US Inc ($125).

Total Amount

$125

General + Research + Ownership

Payments

1

Total payment records

General Amount

$125

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-30

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Astellas Pharma US Inc$125
View all Open Payments →|Open Payments Risk Radar →

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: 2023-04-24

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
I20230424002609ICertified Nurse Midwife (Cnm)UTTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84127)

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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: 1850209420View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to KELLIE GARRETT?
NPI 1275102782 is assigned to KELLIE GARRETT under the national enumeration system.
Does this profile mean KELLIE GARRETT is currently active?
Yes — KELLIE GARRETT appears active in the national provider directory.
What field does KELLIE GARRETT work in?
You can think of KELLIE GARRETT as practicing within Advanced Practice Midwife. Clinical services aligned with this taxonomy classification.
Where is KELLIE GARRETT's primary listing?
We display Salt Lake City, Utah because that is what the record indicates for KELLIE GARRETT.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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