MRS. KELLY JEAN BRINKERHOFF (NURSE PRACTITIONER) – Medical-Surgical Registered Nurse, NPI 1700396504
Medical-Surgical Registered Nurse
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MRS. KELLY JEAN BRINKERHOFF (NURSE PRACTITIONER)
South 2985 West, West Haven, Weber County, Utah, 84067, United States
WEST HAVEN, UT 844014101
Phone:
Type: Mailing
1893 E SKYLINE DR STE 102
SOUTH OGDEN, UT 844035382
Phone: (435) 232-3458
Type: Location
2294 S 4075 W
WEST HAVEN, UT 844017128
Phone: (801) 628-2532
Type: Mailing
2408 VAN BUREN AVE
OGDEN, UT 844012712
Phone: (801) 778-6277
Type: Location
4401 Harrison Blvd
Ogden, UT 844033195
Phone: (801) 387-5530
Type: Location
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: 2018-03-19
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 |
|---|---|---|---|---|
| I20180319000791 | I | Nurse Practitioner | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84401)
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