KORI DAWN KEYLON PA, RT
NPI 1134541972
Physician Assistant - Medical in Montezuma Creek, UT

Active since January 14, 2014PECOS EnrolledAccepts Medicare Assignment
1478 EAST HIGHWAY 162, MONTEZUMA CREEK, UT 84534(435) 651-3700(435) 678-0608 Get Directions Write a Review

NPPES record last updated: March 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kori Dawn Keylon Pa, Rt NPPES

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

KORI DAWN KEYLON PA, RT (NPI 1134541972) is an individual medical provider in Montezuma Creek, Utah, licensed in Utah (6739286-1206) and active in the NPI registry since January 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1134541972
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKORI DAWN KEYLONCredential: PA, RT
Location Address1478 EAST HIGHWAY 162Montezuma Creek, UT 84534-0130
Mailing AddressPo Box 130Montezuma Creek, UT 84534-0130 · (435) 651-3700 · Fax (435) 651-3376
Fax(435) 678-0608
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJanuary 14, 2014
Last NPPES UpdateMarch 10, 2022
NPPES CertifiedFebruary 28, 2022
NPI 1134541972 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 · 6739286-1206
1478 EAST HIGHWAY 162, Montezuma Creek, UT 84534

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

Kori Dawn Keylon Pa, Rt 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 ID7315170594
PECOS Enrollment IDI20140424001234
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
35%98 patients2/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
25%149 patients2/55-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
27%114 patients2/55-star benchmark: 100%
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.

Family Medicine
1478 EAST HIGHWAY 162
MONTEZUMA CREEK, UT 84534
Physician Assistant
1478 EAST HIGHWAY 162
MONTEZUMA CREEK, UT 84534
Nurse Practitioner
1478 EAST HIGHWAY 162
MONTEZUMA CREEK, UT 84534
Counselor (Mental Health)
1478 EAST HIGHWAY 162
MONTEZUMA CREEK, UT 84534
Non-emergency Medical Transport (VAN)
1478 EAST HIGHWAY 162
MONTEZUMA CREEK, UT 84534
Nurse Practitioner (Family)
1478 EAST HIGHWAY 162
MONTEZUMA CREEK, UT 84534
Nurse Practitioner (Family)
1478 EAST HIGHWAY 162
MONTEZUMA CREEK, UT 84534
Dietitian, Registered
1478 EAST HIGHWAY 162
MONTEZUMA CREEK, UT 84534

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 Kori Keylon's NPI number?

The NPI number for Kori Keylon is 1134541972. It was assigned to this individual provider in the NPPES registry on January 14, 2014.

Where is Kori Keylon located?

Kori Keylon practices at 1478 East Highway 162, Montezuma Creek, UT 84534. The listed phone number is (435) 651-3700.

What is Kori Keylon's specialty?

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

Is Kori Keylon enrolled in Medicare?

Yes. Kori Keylon 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.

When was this NPI record last updated?

The NPPES record for Kori Keylon was last updated on March 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.