KAYLEEN HALL WILSON (FNP) – Family Nurse Practitioner, NPI 1790088797

KAYLEEN HALL WILSON (FNP) is a healthcare provider. based in Roy, Utah. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 374515-4405 (UT). The NPI Number for KAYLEEN HALL WILSON (FNP) is 1790088797

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
KAYLEEN HALL WILSON (FNP)
NPI
1790088797
Phone
(801) 475-3900
Address
3485 W 5200 S
Enumeration Date
13 December 2010
Last Update Date
17 January 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8014794621
Graduation Year
2010 (16 years ago)
PAC ID
4981845211
Group Practice PAC ID
9638078033
Professional Enrollment ID
I20130729000424
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

2,655 NURSE PRACTITIONER in UT

Provider Addresses for KAYLEEN HALL WILSON (FNP)

  • 3485 W 5200 S

    ROY, UT 840679438

    Phone: (801) 475-3900

    Fax: (801) 475-3901

    Type: Location

  • PO BOX 5546

    DENVER, CO 802175546

    Phone: (801) 475-3900

    Fax: (801) 475-3901

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 87 Open Payments records for all available years, with a total value of $1,511.

Total Amount is formed as General ($1,511) + Research ($0) + Ownership ($0) = $1,511.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: PFIZER INC. ($243).

Total Amount

$1,511

General + Research + Ownership

Payments

87

Total payment records

General Amount

$1,511

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

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: 2013-07-29

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
I20130729000424INurse PractitionerUTTBD

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 minutes9063$0
36415Insertion of needle into vein for collection of blood sample7148$0
99213Established patient office or other outpatient visit, 20-29 minutes6357$0
80053Blood test, comprehensive group of blood chemicals4536$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count4538$0
View full utilization report →

Insurance plans in this area (ZIP 84067)

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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: 9638078033View full group profile
NameSpecialtyState
Family PracticeCO
Family PracticeCA
Physician AssistantUT
Physician AssistantWA
Family PracticeCO
Family PracticeCO
Physician AssistantNC
Physical Therapist In Private PracticeCO
Physician AssistantCO
Family PracticeCO

Reviews

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Frequently asked questions

What is the 10-digit NPI for KAYLEEN HALL WILSON (FNP)?
KAYLEEN HALL WILSON (FNP) — NPI 1790088797 — is the standard way to identify this listing.
Is KAYLEEN HALL WILSON (FNP) still practicing?
KAYLEEN HALL WILSON (FNP) is currently listed as active in the public NPI registry.
What is KAYLEEN HALL WILSON (FNP)'s primary classification?
Family Nurse Practitioner is the headline specialty for KAYLEEN HALL WILSON (FNP) here. Clinical services aligned with this taxonomy classification.
Does KAYLEEN HALL WILSON (FNP) list a practice location?
Patients near Roy, Utah may find KAYLEEN HALL WILSON (FNP) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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