KYLER CLUFF (FNP) – Family Nurse Practitioner, NPI 1811717127

KYLER CLUFF (FNP) is a healthcare provider. based in Salt lake city, Utah. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 11605503-4405 (UT). The NPI Number for KYLER CLUFF (FNP) is 1811717127

Main info

Male
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
KYLER CLUFF (FNP)
NPI
1811717127
Phone
(801) 262-8486
Address
1521 E 3900 S
Enumeration Date
11 October 2024
Last Update Date
15 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8012628486
Graduation Year
2024 (2 years ago)
PAC ID
3577096031
Group Practice PAC ID
3173422730
Professional Enrollment ID
I20241023001654
Address ID
UT841241550SA1521X3900301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

2,655 NURSE PRACTITIONER in UT

Provider Addresses for KYLER CLUFF (FNP)

  • 1521 E 3900 S

    SALT LAKE CITY, UT 841241501

    Phone: (801) 262-8486

    Type: Location

  • 280 S MAIN ST

    BOUNTIFUL, UT 840106236

    Phone: (801) 505-0821

    Fax: (801) 505-0803

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-10-23

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
I20241023001654INurse 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.

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

Insurance plans in this area (ZIP 84124)

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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: 3173422730View full group profile
NameSpecialtyState
Physical Medicine And RehabilitationUT
Orthopedic Surgery, Hand SurgeryUT
Physical Medicine And Rehabilitation, Sports MedicineCA
P O D I A T R YUT
-UT
-UT
Physical Medicine And RehabilitationUT
-UT
Orthopedic SurgeryUT
Orthopedic SurgeryUT

Reviews

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Frequently asked questions

Where can patients find KYLER CLUFF (FNP)'s NPI?
You can confirm KYLER CLUFF (FNP) with NPI 1811717127; it appears in the national provider directory.
Is KYLER CLUFF (FNP)'s NPI currently valid?
The extract we use shows KYLER CLUFF (FNP) as active.
What kind of provider is KYLER CLUFF (FNP)?
The page reflects Family Nurse Practitioner for KYLER CLUFF (FNP). Clinical services aligned with this taxonomy classification.
What location metadata exists for KYLER CLUFF (FNP)?
The page summarizes Salt Lake City, Utah for KYLER CLUFF (FNP); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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