KELSEY DIETRICH MSN, FNP-BC
NPI 1013619857
Nurse Practitioner - Family in Salt Lake City, UT

Active since March 17, 2023PECOS EnrolledAccepts Medicare Assignment
324 E 10TH AVE STE 200, SALT LAKE CITY, UT 84103(801) 408-7660 Get Directions Write a Review

NPPES record last updated: April 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelsey Dietrich Msn, Fnp-bc NPPES

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

KELSEY DIETRICH MSN, FNP-BC (NPI 1013619857) is an individual family provider in Salt Lake City, Utah, licensed in Utah (12764506-4405) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, is affiliated with Lds Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1013619857
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELSEY DIETRICHCredential: MSN, FNP-BC
Location Address324 E 10TH AVE STE 200Salt Lake City, UT 84103-2869
Mailing Address1477 S 500 ESalt Lake City, UT 84105-2046 · (810) 869-6378
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 17, 2023
Last NPPES UpdateApril 18, 2023
NPPES CertifiedApril 18, 2023
NPI 1013619857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in UT · 12764506-4405
Also ListedRegistered NurseTaxonomy 163W00000X · License 12764506-3102 (UT)
324 E 10TH AVE STE 200, Salt Lake City, UT 84103

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

Kelsey Dietrich Msn, Fnp-bc 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 ID3779946165
PECOS Enrollment IDI20230901000812
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lds Hospital

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460006
Location8th Avenue And C StreetSalt Lake City, UT 84143 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

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

Surgery
324 E 10TH AVE STE 200
SALT LAKE CITY, UT 84103
Physician Assistant
324 E 10TH AVE STE 200
SALT LAKE CITY, UT 84103
Obstetrics & Gynecology
324 E 10TH AVE STE 200
SALT LAKE CITY, UT 84103
Surgery
324 E 10TH AVE STE 200
SALT LAKE CITY, UT 84103
Surgery
324 E 10TH AVE STE 200
SALT LAKE CITY, UT 84103
Physician Assistant
324 E 10TH AVE STE 200
SALT LAKE CITY, UT 84103
Obstetrics & Gynecology
324 E 10TH AVE STE 200
SALT LAKE CITY, UT 84103
Colon & Rectal Surgery
324 E 10TH AVE STE 200
SALT LAKE CITY, UT 84103

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 Kelsey Dietrich's NPI number?

The NPI number for Kelsey Dietrich is 1013619857. It was assigned to this individual provider in the NPPES registry on March 17, 2023.

Where is Kelsey Dietrich located?

Kelsey Dietrich practices at 324 E 10th Ave Ste 200, Salt Lake City, UT 84103. The listed phone number is (801) 408-7660.

What is Kelsey Dietrich's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kelsey Dietrich enrolled in Medicare?

Yes. Kelsey Dietrich 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 Kelsey Dietrich accept?

Health plans from Select Health list Kelsey Dietrich 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.

Is Kelsey Dietrich affiliated with any hospitals?

According to CMS data, Kelsey Dietrich is affiliated with Lds Hospital.

When was this NPI record last updated?

The NPPES record for Kelsey Dietrich was last updated on April 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.