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KAITLYN HAYES PELLETIER APRN
NPI 1194345603
Nurse Practitioner - Gerontology in Salt Lake City, UT

Active since April 24, 2020PECOS EnrolledAccepts Medicare Assignment
92.06/100
CMS Quality Rating
2000 CIRCLE OF HOPE DR # 1950, SALT LAKE CITY, UT 84112(225) 278-9303 Get Directions Write a Review

NPPES record last updated: November 11, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 11, 2021, Apr 24, 2020 (2 updates tracked since 2020).

About Kaitlyn Hayes Pelletier Aprn NPPES

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

KAITLYN HAYES PELLETIER APRN (NPI 1194345603) is an individual gerontology provider in Salt Lake City, Utah, licensed in Utah (8382143-4405) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1194345603
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameKAITLYN HAYES PELLETIERCredential: APRN
Location Address2000 CIRCLE OF HOPE DR # 1950Salt Lake City, UT 84112-5550
Mailing Address1926 E Parkridge DrSalt Lake City, UT 84121-4857
Phone(225) 278-9303
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 24, 2020
Last NPPES UpdateNovember 11, 20212 updates tracked since enumeration
NPPES CertifiedNovember 11, 2021
✔ NPI 1194345603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in UT · 8382143-4405
2000 CIRCLE OF HOPE DR # 1950, Salt Lake City, UT 84112
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah 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

Kaitlyn Hayes Pelletier Aprn 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 ID8527480508
PECOS Enrollment IDI20200619001841
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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
161 services92 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
109 services36 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
91 services65 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
90 services39 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
27 services17 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
19 services12 patients

Hospital Affiliations CMS Care Compare 4

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

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

Holy Cross Hospital-Jordan Valley

Acute Care Hospitals · West Jordan, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460051
Location3580 West 9000 SouthWest Jordan, UT 84088 · Salt Lake County
Emergency services Birthing friendly

Heber Valley Hospital

Critical Access Hospitals · Heber City, UT
OwnershipVoluntary non-profit - Private
CMS Certification Number461307
Location454 East Medical WayHeber City, UT 84032 · Wasatch County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84112 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.

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.

92.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.57
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 7

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

SARA ANNE ROCK PA-C
Physician Assistant
2000 CIRCLE OF HOPE DR # 1950
SALT LAKE CITY, UT 84112
Salt Lake County (801) 587-7000
JENNIFER PANNUNZIO LCSW
Social Worker (Clinical)
2000 CIRCLE OF HOPE DR # 1950
SALT LAKE CITY, UT 84112
Salt Lake County (801) 213-5659
LYNDSAY ANNE WIXOM NURSE
Nurse Practitioner (Family)
2000 CIRCLE OF HOPE DR # 1950
SALT LAKE CITY, UT 84112
Salt Lake County (801) 971-8987
HILLARY DAVIS PA-C
Physician Assistant (Surgical)
2000 CIRCLE OF HOPE DR # 1950
SALT LAKE CITY, UT 84112
Salt Lake County (801) 587-7000
BENJAMIN DAVID CARRICK PA-C
Physician Assistant (Surgical)
2000 CIRCLE OF HOPE DR # 1950
SALT LAKE CITY, UT 84112
Salt Lake County (801) 587-7000
DR. SETH SEAY
Physical Therapist
2000 CIRCLE OF HOPE DR # 1950
SALT LAKE CITY, UT 84112
Salt Lake County (801) 587-7000
KAITLIN EMMERLING
Physician Assistant
2000 CIRCLE OF HOPE DR # 1950
SALT LAKE CITY, UT 84112
Salt Lake County (801) 213-4261

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 Kaitlyn Pelletier's NPI number?

The NPI number for Kaitlyn Pelletier is 1194345603. It was assigned to this individual provider in the NPPES registry on April 24, 2020.

Where is Kaitlyn Pelletier located?

Kaitlyn Pelletier practices at 2000 Circle Of Hope Dr # 1950, Salt Lake City, UT 84112. The listed phone number is (225) 278-9303.

What is Kaitlyn Pelletier's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Kaitlyn Pelletier enrolled in Medicare?

Yes. Kaitlyn Pelletier 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 Kaitlyn Pelletier accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Kaitlyn Pelletier 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 Kaitlyn Pelletier affiliated with any hospitals?

According to CMS data, Kaitlyn Pelletier is affiliated with St Luke's Regional Medical Center, University Of Utah Hospitals And Clinics, Holy Cross Hospital-Jordan Valley and Heber Valley Hospital.

When was this NPI record last updated?

The NPPES record for Kaitlyn Pelletier was last updated on November 11, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.