KELLY MARIE DALY-WOLFE PA-C, RDN
NPI 1003334525
Physician Assistant - Medical in Provo, UT

Active since September 05, 2017PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 14, 2019, Aug 20, 2018 (2 updates tracked since 2018).

About Kelly Marie Daly-wolfe Pa-c, Rdn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY MARIE DALY-WOLFE PA-C, RDN (NPI 1003334525) is an individual medical provider in Provo, Utah, licensed in Utah (8423560-1206) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1003334525
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKELLY MARIE DALY-WOLFECredential: PA-C, RDN
Location Address750 N 200 WProvo, UT 84601-1677
Mailing Address589 S State StProvo, UT 84606-5056 · (801) 429-2000
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 5, 2017
Last NPPES UpdateMay 20, 20242 updates tracked since enumeration
NPPES CertifiedMay 20, 2024
NPI 1003334525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in UT · 8423560-1206
750 N 200 W, Provo, UT 84601

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kelly Marie Daly-wolfe Pa-c, Rdn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648537837
PECOS Enrollment IDI20171122002751
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
13%52 patients1/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
18%96 patients1/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
29%42 patients2/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%4,484 patients5/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
6%359 patients1/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%131 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
20%492 patients1/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
75%492 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
5%492 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
12%492 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Case Manager/Care Coordinator
750 N 200 W
PROVO, UT 84601
Student in an Organized Health Care Education/Training Program
750 N 200 W, SUITE 300
PROVO, UT 84601
Student in an Organized Health Care Education/Training Program
750 N 200 W, SUITE 300
PROVO, UT 84601
Case Manager/Care Coordinator
750 N 200 W
PROVO, UT 84601
Case Manager/Care Coordinator
750 N 200 W
PROVO, UT 84601
Social Worker
750 N 200 W, SUITE NUMBER 300
PROVO, UT 84601
Student in an Organized Health Care Education/Training Program
750 N 200 W, SUITE 300
PROVO, UT 84601
Case Manager/Care Coordinator
750 N 200 W
PROVO, UT 84601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Daly-wolfe's NPI number?

The NPI number for Kelly Daly-wolfe is 1003334525. It was assigned to this individual provider in the NPPES registry on September 5, 2017.

Where is Kelly Daly-wolfe located?

Kelly Daly-wolfe practices at 750 N 200 W, Provo, UT 84601. The listed phone number is (801) 429-2000.

What is Kelly Daly-wolfe's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kelly Daly-wolfe enrolled in Medicare?

Yes. Kelly Daly-wolfe is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kelly Daly-wolfe accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Kelly Daly-wolfe as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Daly-wolfe was last updated on May 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.