GRACE-MAE CACHERO GENITIANO KELLY
NPI 1265916639
Nurse Practitioner - Family in Slc, UT

Active since September 20, 2018PECOS EnrolledAccepts Medicare Assignment
92.06/100
CMS Quality Rating
4460 S HIGHLAND DR, SLC, UT 84124(888) 949-4864 Get Directions Write a Review

NPPES record last updated: November 1, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 1, 2021, Nov 12, 2019, Sep 20, 2018 (3 updates tracked since 2018).

About Grace-mae Cachero Genitiano Kelly NPPES

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

GRACE-MAE CACHERO GENITIANO KELLY (NPI 1265916639) is an individual family provider in Slc, Utah, licensed in Utah (6300561-4405) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1265916639
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameGRACE-MAE CACHERO GENITIANO KELLY
Location Address4460 S HIGHLAND DRSlc, UT 84124-3543
Mailing Address4460 S Highland DrSlc, UT 84124-3543
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 20, 2018
Last NPPES UpdateNovember 1, 20213 updates tracked since enumeration
NPPES CertifiedNovember 1, 2021
NPI 1265916639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in UT · 6300561-4405
4460 S HIGHLAND DR, Slc, UT 84124

Accepted 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

Grace-mae Cachero Genitiano Kelly 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 ID3870926504
PECOS Enrollment IDI20191210002080
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

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.

Removal of spinal fluid with lower back spinal tap for diagnostic test using imaging guidance 62328
A lower back spinal tap, guided by imaging, is a procedure to collect spinal fluid for testing. A needle is carefully inserted into the lower back to draw out fluid. This can help diagnose various conditions. It's performed under local anesthesia to minimize discomfort.
24 services24 patients

Hospital Affiliations CMS Care Compare

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

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

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.

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 20

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

Counselor
4460 S HIGHLAND DR, 230
SALT LAKE CITY, UT 84124
Counselor
4460 S HIGHLAND DR, #230
SALT LAKE CITY, UT 84124
Counselor
4460 S HIGHLAND DR, SUITE 230
SLC, UT 84124
Behavior Analyst
4460 S HIGHLAND DR
SALT LAKE CITY, UT 84124
Nurse Practitioner (Psychiatric/Mental Health)
4460 S HIGHLAND DR
SALT LAKE CITY, UT 84124
Registered Nurse
4460 S HIGHLAND DR
SALT LAKE CITY, UT 84124
Counselor (Mental Health)
4460 S HIGHLAND DR, #230
SALT LAKE CITY, UT 84124
Counselor (Mental Health)
4460 S HIGHLAND DR
SALT LAKE CITY, UT 84124

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 Grace-mae Genitiano Kelly's NPI number?

The NPI number for Grace-mae Genitiano Kelly is 1265916639. It was assigned to this individual provider in the NPPES registry on September 20, 2018.

Where is Grace-mae Genitiano Kelly located?

Grace-mae Genitiano Kelly practices at 4460 S Highland Dr, Slc, UT 84124. The listed phone number is (888) 949-4864.

What is Grace-mae Genitiano Kelly's specialty?

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

Is Grace-mae Genitiano Kelly enrolled in Medicare?

Yes. Grace-mae Genitiano Kelly 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 Grace-mae Genitiano Kelly accept?

Health plans from Select Health and University of Utah Health Plans list Grace-mae Genitiano Kelly 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 Grace-mae Genitiano Kelly affiliated with any hospitals?

According to CMS data, Grace-mae Genitiano Kelly is affiliated with University Of Utah Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Grace-mae Genitiano Kelly was last updated on November 1, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.