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DR. HANNAH LOUISE JELLEY MD
NPI 1306378617
Pediatrics in Salt Lake City, UT

Active since March 28, 2017PECOS Enrolled
81 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113(801) 662-5700 Get Directions Write a Review

NPPES record last updated: October 4, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 4, 2023, Oct 22, 2018, Mar 28, 2017 (3 updates tracked since 2017).

About Dr. Hannah Louise Jelley Md NPPES

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

DR. HANNAH LOUISE JELLEY MD (NPI 1306378617) is an individual pediatrics provider in Salt Lake City, Utah, licensed in Utah (10957140-1205) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306378617
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. HANNAH LOUISE JELLEYCredential: MD
Location Address81 N MARIO CAPECCHI DRSalt Lake City, UT 84113-1125
Mailing Address81 N Mario Capecchi DrSalt Lake City, UT 84113-1125 · (801) 581-2121
Phone(801) 662-5700
Sole ProprietorYes
Enumeration DateMarch 28, 2017
Last NPPES UpdateOctober 4, 20233 updates tracked since enumeration
NPPES CertifiedOctober 4, 2023
✔ NPI 1306378617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in UT · 10957140-1205
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
81 N MARIO CAPECCHI DR, Salt Lake City, UT 84113
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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Hannah Louise Jelley Md 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 Hannah Jelley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Utah Pediatric Services
Same address
Pediatric Allergy/Immunology
81 N MARIO CAPECCHI DR
Salt Lake City, UT 84113
  • Reassigned Medicare billing, Utah enrollment
  • 751 clinicians in this Medicare group
NPI 1023472594 (801) 587-6336
Ihc Health Services Inc
0.1 mi
Pediatrics
100 N MARIO CAPECCHI DR
Salt Lake City, UT 84113
  • Reassigned Medicare billing, Utah enrollment
  • 1,729 clinicians in this Medicare group
NPI 1003255464 (801) 662-1000

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 84113 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.

DR. THOMAS PATRICK CURTIN M.D.
Anesthesiology
81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-5700
MELISSA ANN WRIGHT MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 213-3599
UNIVERSITY OF UTAH PEDIATRIC SERVICES
Pediatrics (Pediatric Allergy/Immunology)
81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 587-6336
LAURA R GARCIA GODOY MD
Hospitalist
81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 581-7818
JESSICA NIELSEN FNP
Nurse Practitioner (Family)
81 N MARIO CAPECCHI DR
SLC, UT 84113
Salt Lake County (801) 587-2042
ANA MARIA PEREZ LCSW
Social Worker (Clinical)
81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-3600
ADDISON DAY APRN
Nurse Practitioner (Family)
81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
ELIZABETH QIUFENG ANDERSON MD
Student in an Organized Health Care Education/Training Program
81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-5700

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 Hannah Jelley's NPI number?

The NPI number for Hannah Jelley is 1306378617. It was assigned to this individual provider in the NPPES registry on March 28, 2017.

Where is Hannah Jelley located?

Hannah Jelley practices at 81 N Mario Capecchi Dr, Salt Lake City, UT 84113. The listed phone number is (801) 662-5700.

What is Hannah Jelley's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Hannah Jelley enrolled in Medicare?

Yes. Hannah Jelley is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Hannah Jelley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hannah Jelley reassigns Medicare benefits to 2 organizations: University Of Utah Pediatric Services (Salt Lake City, UT) and Ihc Health Services Inc (Salt Lake City, UT). 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 Hannah Jelley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hannah Jelley accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Hannah Jelley 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.

When was this NPI record last updated?

The NPPES record for Hannah Jelley was last updated on October 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.