1. Home
  2. Directory
  3. Utah
  4. Salt Lake City
  5. Psychologist
  6. NPI Profile

KAILEY ANN RICHNER PHD
NPI 1114814126
Psychologist - Clinical in Salt Lake City, UT

Active since June 23, 2025PECOS EnrolledAccepts Medicare Assignment
500 FOOTHILL DR, SALT LAKE CITY, UT 84148(801) 582-1565 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kailey Ann Richner Phd NPPES

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

KAILEY ANN RICHNER PHD (NPI 1114814126) is an individual clinical provider in Salt Lake City, Utah, licensed in Utah (14168192-2501) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1114814126
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameKAILEY ANN RICHNERCredential: PHD
Location Address500 FOOTHILL DRSalt Lake City, UT 84148-0001
Mailing Address18177 Highway 220Casper, WY 82604-8742 · (307) 267-3602
Phone(801) 582-1565
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 23, 2025
NPPES CertifiedJune 22, 2025
✔ NPI 1114814126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in UT · 14168192-2501
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedPsychologist · Addiction (Substance Use Disorder)Taxonomy 103TA0400X
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X
Also ListedPsychologist · Group PsychotherapyTaxonomy 103TP2701X
500 FOOTHILL DR, Salt Lake City, UT 84148
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kailey Ann Richner Phd 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 ID143723353
PECOS Enrollment IDI20250912002644
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 Billing Reassignment

Medicare enrollment records show Kailey Richner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Campbell County Hospital District
386 mi
Primary Care
500 LATIGO DRIVE
Wright, WY 82732
  • Reassigned Medicare billing, Wyoming enrollment
  • 285 clinicians in this Medicare group
NPI 1225081649 (307) 464-0413

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84148 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
$166.03 typical visit price
range $54.34 – $166.03
Typical copayment $41.50 (range $13.58 – $41.50)
Most-billed visit code 99205
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 20

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

HUNTER BULLOCK MLS(ASCP)
Technician, Pathology (Medical Laboratory)
500 FOOTHILL DR
SALT LAKE CITY, UT 84148
Salt Lake County (801) 582-1565
NICOLAS HORTENSI
Student in an Organized Health Care Education/Training Program
500 FOOTHILL DR
SALT LAKE CITY, UT 84148
Salt Lake County (801) 582-1565
MALLORY SPEAKMAN
Registered Nurse
500 FOOTHILL DR
SALT LAKE CITY, UT 84148
Salt Lake County (801) 582-1565
FAITH FUENTES FNP-BC
Nurse Practitioner (Family)
500 FOOTHILL DR
SALT LAKE CITY, UT 84148
Salt Lake County (801) 891-8638
MR. MICHAEL THOMAS STEVENSON LCSW
Social Worker (Clinical)
500 FOOTHILL DR
SALT LAKE CITY, UT 84148
Salt Lake County (801) 582-1565
MR. LAWRENCE DIXON APRN
Nurse Practitioner (Gerontology)
500 FOOTHILL DR
SALT LAKE CITY, UT 84148
Salt Lake County (801) 582-1565
THOMAS ALAN GOOD LANCE WHITE BULL CPHT
Pharmacy Technician
500 FOOTHILL DR
SALT LAKE CITY, UT 84148
Salt Lake County (801) 582-1565
CLAYTON HAMILTON PHARMD
Pharmacist
500 FOOTHILL DR
SALT LAKE CITY, UT 84148
Salt Lake County (406) 270-7185

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 Kailey Richner's NPI number?

The NPI number for Kailey Richner is 1114814126. It was assigned to this individual provider in the NPPES registry on June 23, 2025.

Where is Kailey Richner located?

Kailey Richner practices at 500 Foothill Dr, Salt Lake City, UT 84148. The listed phone number is (801) 582-1565.

What is Kailey Richner's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Kailey Richner enrolled in Medicare?

Yes. Kailey Richner 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.

Which organization bills Medicare for Kailey Richner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kailey Richner reassigns Medicare benefits to Campbell County Hospital District (Wright, WY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kailey Richner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kailey Richner accept?

Health plans from Blue Cross Blue Shield of Wyoming and UnitedHealthcare list Kailey Richner 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 Kailey Richner was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.