KELLI LYN KAY (PA-C) – Physician Assistant, NPI 1831648013
Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,971 PHYSICIAN ASSISTANT in UT
Provider Addresses for KELLI LYN KAY (PA-C)
1055 N 500 W
ATTN CREDENTIALING
PROVO, UT 84604
Phone: (801) 354-8225
Type: Mailing
4095 E Pony Express Pkwy Ste 1
Eagle Mountain, UT 840055531
Phone: (801) 429-8037
Type: Location
1055 N 500 W Bldg A
Provo, UT 846043305
Phone: (801) 812-5033
Type: Location
972 N 600 E
Spanish Fork, UT 846601306
Phone: (385) 265-6060
Type: Location
555 W State Road 164
Salem, UT 846535732
Phone: (801) 425-4896
Type: Location
Carolinas HealthCare System Pineville, 10628, Park Road, Park 51 Center Shops, Pineville, Mecklenburg County, North Carolina, 28210, United States
CHARLOTTE, NC 282108407
Phone: (703) 667-1000
Type: Mailing
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 $43.
Total Amount is formed as General ($43) + Research ($0) + Ownership ($0) = $43.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: PFIZER INC. ($43).
Total Amount
$43
General + Research + Ownership
Payments
3
Total payment records
General Amount
$43
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $43 |
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: 2021-10-14
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 |
|---|---|---|---|---|
| I20211014002997 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 28 | 28 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 21 | 21 | $0 |
Insurance plans in this area (ZIP 84604)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | AZ | |
| Emergency Medicine | UT | |
| Emergency Medicine | UT | |
| Emergency Medicine | NV | |
| Emergency Medicine | CA | |
| Emergency Medicine | GA | |
| Emergency Medicine | TX | |
| - | UT | |
| Emergency Medicine | UT | |
| Emergency Medicine | UT |
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