KELLIE NIELSEN (APRN, FNP) – Family Nurse Practitioner, NPI 1992154777

KELLIE NIELSEN (APRN, FNP) is a healthcare provider. based in Brigham city, Utah. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, FNP. They hold a License No. 5113808-4405 (UT). The NPI Number for KELLIE NIELSEN (APRN, FNP) is 1992154777

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
KELLIE NIELSEN (APRN, FNP)
NPI
1992154777
Phone
(435) 734-2041
Address
PO BOX 719
Enumeration Date
13 June 2016
Last Update Date
18 October 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4352133597
Graduation Year
2016 (10 years ago)
PAC ID
3779863543
Group Practice PAC ID
5193153294
Professional Enrollment ID
I20180724002474
Address ID
UT843329001PR200XXDRXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

2,655 NURSE PRACTITIONER in UT

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Provider Addresses for KELLIE NIELSEN (APRN, FNP)

  • Brigham City, Box Elder County, Utah, United States

    BRIGHAM CITY, UT 843020719

    Phone: (435) 734-2041

    Fax: (435) 723-8028

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 101 Open Payments records for all available years, with a total value of $1,868.

Total Amount is formed as General ($1,868) + Research ($0) + Ownership ($0) = $1,868.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($752).

Total Amount

$1,868

General + Research + Ownership

Payments

101

Total payment records

General Amount

$1,868

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2018-07-24

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180724002474INurse 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 minutes13864$0
99213Established patient office or other outpatient visit, 20-29 minutes5940$0
99215Established patient office or other outpatient visit, 40-54 minutes1514$0
36415Insertion of needle into vein for collection of blood sample1312$0
View full utilization report →

Insurance plans in this area (ZIP 84302)

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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: 5193153294View full group profile
NameSpecialtyState
Nurse PractitionerUT
Nurse PractitionerUT

Reviews

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Frequently asked questions

Is there an official ID for KELLIE NIELSEN (APRN, FNP) in U.S. healthcare records?
The official identifier for KELLIE NIELSEN (APRN, FNP) is NPI 1992154777.
Is there an active status for KELLIE NIELSEN (APRN, FNP)?
For scheduling context, KELLIE NIELSEN (APRN, FNP) is shown as active in the registry.
What clinical focus is listed for KELLIE NIELSEN (APRN, FNP)?
At a glance, KELLIE NIELSEN (APRN, FNP) is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Utah is KELLIE NIELSEN (APRN, FNP) registered?
Use Brigham City, Utah as the headline location for KELLIE NIELSEN (APRN, FNP) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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