KELSEY BYWATER (FNP) – Family Nurse Practitioner, NPI 1629508403
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,655 NURSE PRACTITIONER in UT
Provider Addresses for KELSEY BYWATER (FNP)
984 MEDICAL DR STE 1
BRIGHAM CITY, UT 843024712
Phone: (435) 723-5248
Fax: (877) 395-5866
Type: Location
1041 S MEDICAL DR STE 200
BRIGHAM CITY, UT 843023293
Phone: (435) 723-5248
Fax: (435) 723-5240
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 78 Open Payments records for all available years, with a total value of $1,213.
Total Amount is formed as General ($1,213) + Research ($0) + Ownership ($0) = $1,213.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ABBVIE INC. ($393).
Total Amount
$1,213
General + Research + Ownership
Payments
78
Total payment records
General Amount
$1,213
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $393 |
| Indivior Inc. | $131 |
| Astellas Pharma US Inc | $94 |
| Amgen Inc. | $80 |
| bioMerieux Inc | $46 |
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: 2017-07-24
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170724002173 | 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 | 192 | 104 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 108 | 88 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 47 | 47 | $0 |
| 83036 | Hemoglobin a1c level | 40 | 34 | $0 |
| 81003 | Automated urinalysis test | 30 | 23 | $0 |
Insurance plans in this area (ZIP 84302)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | UT | |
| Nurse Practitioner | UT | |
| Nurse Practitioner | UT | |
| Family Practice | ID | |
| Nurse Practitioner | UT | |
| Nurse Practitioner | UT | |
| Internal Medicine | UT | |
| Family Practice | UT | |
| Family Practice | UT | |
| Physician Assistant | VA |
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