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MELISSA KEITH
NPI 1205507951
Nurse Practitioner - Family in Payson, UT

Active since September 22, 2021PECOS Enrolled
97 PROFESSIONAL WAY STE 2, PAYSON, UT 84651(801) 465-4896(801) 465-4107 Get Directions Write a Review

NPPES record last updated: September 22, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Melissa Keith NPPES

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

MELISSA KEITH (NPI 1205507951) is an individual family provider in Payson, Utah, licensed in Utah (281902-4405) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205507951
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMELISSA KEITH
Location Address97 PROFESSIONAL WAY STE 2Payson, UT 84651-1680
Mailing Address1055 N 500 W, Att CredentialingProvo, UT 84604 · (801) 354-8225 · Fax (801) 418-0941
Phone(801) 465-4896
Fax(801) 465-4107
Sole ProprietorNo
Enumeration DateSeptember 22, 2021
NPPES CertifiedSeptember 22, 2021
✔ NPI 1205507951 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 · 281902-4405
97 PROFESSIONAL WAY STE 2, Payson, UT 84651
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melissa Keith is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Melissa Keith reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Revere Health PC
19 mi
Multi-Specialty
1055 N 500 W
Provo, UT 84604
  • Reassigned Medicare billing, Utah enrollment
  • 414 clinicians in this Medicare group
NPI 1093764805 (801) 429-8000
Signify Health, LLC
960 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Utah enrollment
  • 145 clinicians in this Medicare group
NPI 1689158487 (469) 466-7007

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 84651 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$169.80 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

NOLAN MONEY MD
Family Medicine
97 PROFESSIONAL WAY STE 2
PAYSON, UT 84651
Utah County (801) 465-4896
DR. JEDIDIAH DUNBAR OLDHAM DO
Family Medicine
97 PROFESSIONAL WAY STE 2
PAYSON, UT 84651
Utah County (801) 465-4896
DR. DANA H MUNN D.O.
Family Medicine
97 PROFESSIONAL WAY STE 2
PAYSON, UT 84651
Utah County (801) 465-4896
MATTHEW QUINN SHELTON DO
Family Medicine
97 PROFESSIONAL WAY STE 2
PAYSON, UT 84651
Utah County (801) 465-4896

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 Melissa Keith's NPI number?

The NPI number for Melissa Keith is 1205507951. It was assigned to this individual provider in the NPPES registry on September 22, 2021.

Where is Melissa Keith located?

Melissa Keith practices at 97 Professional Way Ste 2, Payson, UT 84651. The listed phone number is (801) 465-4896.

What is Melissa Keith's specialty?

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

Is Melissa Keith enrolled in Medicare?

Yes. Melissa Keith is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Melissa Keith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Keith reassigns Medicare benefits to 2 organizations: Revere Health PC (Provo, UT) and Signify Health, LLC (Dallas, TX). Each 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 Melissa Keith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Melissa Keith was last updated on September 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.