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

KELLY ANDERSON DNP, APRN-CNP, FNP-C
NPI 1184481905
Nurse Practitioner - Family in Salt Lake City, UT

Active since February 28, 2024PECOS EnrolledAccepts Medicare Assignment
1250 E 3900 S STE 260, SALT LAKE CITY, UT 84124(801) 265-2000(801) 265-2008 Get Directions Write a Review

NPPES record last updated: December 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 23, 2025, Apr 9, 2024 (2 updates tracked since 2024).

About Kelly Anderson Dnp, Aprn-cnp, Fnp-c NPPES

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

KELLY ANDERSON DNP, APRN-CNP, FNP-C (NPI 1184481905) is an individual family provider in Salt Lake City, Utah, licensed in Utah (10681922-4405) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS, is affiliated with St Mark's Hospital, and is a graduate of Baylor College Of Medicine (2023).

NPPES Registry Identity

NPI1184481905
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY ANDERSONCredential: DNP, APRN-CNP, FNP-C
Location Address1250 E 3900 S STE 260Salt Lake City, UT 84124-1371
Mailing Address1250 E 3900 S Ste 260Salt Lake City, UT 84124-1371 · (801) 265-2000 · Fax (801) 265-2008
Phone(801) 265-2000
Fax(801) 265-2008
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 2023
Enumeration DateFebruary 28, 2024
Last NPPES UpdateDecember 23, 20252 updates tracked since enumeration
NPPES CertifiedDecember 23, 2025
✔ NPI 1184481905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in UT · 10681922-4405
1250 E 3900 S STE 260, Salt Lake City, UT 84124
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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 Anderson Dnp, Aprn-cnp, Fnp-c 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 ID8628598489
PECOS Enrollment IDI20250224001358, I20251106002386
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.

St Mark's Hospital

Acute Care Hospitals · Salt Lake City, UT
3/5 CMS rating
OwnershipProprietary
CMS Certification Number460047
Location1200 East 3900 SouthSalt Lake City, UT 84124 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84124 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 20

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

NICHOLAS DAVID KRESS MD
Student in an Organized Health Care Education/Training Program
1250 E 3900 S STE 260
SALT LAKE CITY, UT 84124
Salt Lake County (801) 265-2000
NATASHA GREENE MD
Family Medicine
1250 E 3900 S STE 260
SALT LAKE CITY, UT 84124
Salt Lake County (801) 265-2000
ALI KOEHLER COFFEE DO
Student in an Organized Health Care Education/Training Program
1250 E 3900 S STE 260
SALT LAKE CITY, UT 84124
Salt Lake County (801) 265-2000
CARLINE POWELL DO
Family Medicine
1250 E 3900 S STE 260
SLC, UT 84124
Salt Lake County (801) 265-2000
HARRIET ELIZABETH KOBALL DO
Student in an Organized Health Care Education/Training Program
1250 E 3900 S STE 260
SALT LAKE CITY, UT 84124
Salt Lake County (801) 265-2000
TEGAN ELIZABETH SPANGRUDE DNP
Nurse Practitioner (Family)
1250 E 3900 S STE 260
SALT LAKE CITY, UT 84124
Salt Lake County (801) 265-2000
ELISE R BLASEG MD
Family Medicine
1250 E 3900 S STE 260
SALT LAKE CITY, UT 84124
Salt Lake County (801) 265-2000
KYLE KENT TURNER
Student in an Organized Health Care Education/Training Program
1250 E 3900 S STE 260
SALT LAKE CITY, UT 84124
Salt Lake County (801) 265-2000

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 Anderson's NPI number?

The NPI number for Kelly Anderson is 1184481905. It was assigned to this individual provider in the NPPES registry on February 28, 2024.

Where is Kelly Anderson located?

Kelly Anderson practices at 1250 E 3900 S Ste 260, Salt Lake City, UT 84124. The listed phone number is (801) 265-2000.

What is Kelly Anderson's specialty?

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

Is Kelly Anderson enrolled in Medicare?

Yes. Kelly Anderson 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 Anderson accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Kelly Anderson 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 Kelly Anderson affiliated with any hospitals?

According to CMS data, Kelly Anderson is affiliated with St Mark's Hospital.

When was this NPI record last updated?

The NPPES record for Kelly Anderson was last updated on December 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.