KATELAND HEIDI KELLY (PA-C) – Physician Assistant, NPI 1700178191
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,972 PHYSICIAN ASSISTANT in UT
Provider Addresses for KATELAND HEIDI KELLY (PA-C)
1950 CIRCLE OF HOPE DR
SALT LAKE CITY, UT 841125500
Phone: (801) 585-2626
Type: Location
74 PLEASANT ST
STE 204
NEW LONDON, NH 032575881
Phone: (603) 526-4635
Fax: (603) 526-8283
Type: Mailing
11 OLD PARK LANE RD
NEW MILFORD, CT 067762507
Phone: (860) 355-1149
Fax: (860) 210-2008
Type: Mailing
76 NEWTOWN RD STE C
DANBURY, CT 068106265
Phone: (203) 826-8434
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $183.
Total Amount is formed as General ($183) + Research ($0) + Ownership ($0) = $183.
Last reported payment date: 2024-10-24 • Largest payer in this snapshot: Neurocrine BioSciences, Inc. ($136).
Total Amount
$183
General + Research + Ownership
Payments
3
Total payment records
General Amount
$183
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Neurocrine BioSciences, Inc. | $136 |
| Inspire Medical Systems, Inc. | $26 |
| PFIZER INC. | $20 |
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: 2021-09-27
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 |
|---|---|---|---|---|
| I20210927001135 | I | Physician Assistant | CT | 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 | 113 | 103 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 99 | 87 | $0 |
| 87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | 96 | 92 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 66 | 66 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 62 | 62 | $0 |
Insurance plans in this area (ZIP 84112)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | CT | |
| Internal Medicine | CT | |
| Pediatric Medicine, Internal Medicine | CT | |
| Nurse Practitioner | CT | |
| - | CT | |
| Family Practice | CT | |
| Physician Assistant | CT | |
| Physician Assistant | CT | |
| Physician Assistant | ME | |
| - | CT |
Reviews
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