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DR. KELLI CHRISTINE JORDAN M.D.
NPI 1457883134
Psychiatry & Neurology - Psychiatry in Salt Lake City, UT

Active since March 31, 2017PECOS EnrolledAccepts Medicare Assignment
8TH AVENUE C STREET, SALT LAKE CITY, UT 84143(801) 408-1100 Get Directions Write a Review

NPPES record last updated: January 24, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 24, 2022, Apr 13, 2019, Mar 31, 2017 (3 updates tracked since 2017).

About Dr. Kelli Christine Jordan M.d. NPPES

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

DR. KELLI CHRISTINE JORDAN M.D. (NPI 1457883134) is an individual psychiatry provider in Salt Lake City, Utah, licensed in Utah (12324761-1205) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Lds Hospital, and is a graduate of Medical College Of Georgia School Of Medicine (2017).

NPPES Registry Identity

NPI1457883134
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. KELLI CHRISTINE JORDANCredential: M.D.
Location Address8TH AVENUE C STREETSalt Lake City, UT 84143-0001
Mailing Address8th Avenue C StreetSalt Lake City, UT 84143-0001 · (801) 408-1100
Phone(801) 408-1100
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2017
Enumeration DateMarch 31, 2017
Last NPPES UpdateJanuary 24, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2022
✔ NPI 1457883134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in UT · 12324761-1205
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
8TH AVENUE C STREET, Salt Lake City, UT 84143
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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 and accepts Medicare assignment

Dr. Kelli Christine Jordan M.d. 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 ID5991183592
PECOS Enrollment IDI20220610001471
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 Reassignment

Medicare enrollment records show Kelli Jordan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ihc Health Services Inc
Same address
Undersea and Hyperbaric Medicine
8TH AVE C ST
Salt Lake City, UT 84143
  • Reassigned Medicare billing, Utah enrollment
  • 3,691 clinicians in this Medicare group
NPI 1346911229 (801) 408-1100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
93 services19 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
15 services14 patients

Hospital Affiliations CMS Care Compare

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

Lds Hospital

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460006
Location8th Avenue And C StreetSalt Lake City, UT 84143 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84143 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
$166.03 typical visit price
range $54.34 – $166.03
Typical copayment $41.50 (range $13.58 – $41.50)
Most-billed visit code 99205
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
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 3

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

LAUREN L ROSER CRNA
Nurse Anesthetist, Certified Registered
8TH AVENUE C STREET
SALT LAKE CITY, UT 84143
Salt Lake County (801) 727-2056
CAMILLA SOSA MPH, RDN
Dietitian, Registered
8TH AVENUE C STREET
SALT LAKE CITY, UT 84143
Salt Lake County (801) 408-1100
AMANDA NICHOLE ECKERSLEY APRN
Nurse Practitioner (Acute Care)
8TH AVENUE C STREET
SALT LAKE CITY, UT 84143
Salt Lake County (801) 408-3858

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 Kelli Jordan's NPI number?

The NPI number for Kelli Jordan is 1457883134. It was assigned to this individual provider in the NPPES registry on March 31, 2017.

Where is Kelli Jordan located?

Kelli Jordan practices at 8th Avenue C Street, Salt Lake City, UT 84143. The listed phone number is (801) 408-1100.

What is Kelli Jordan's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Kelli Jordan enrolled in Medicare?

Yes. Kelli Jordan 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.

Which organization bills Medicare for Kelli Jordan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelli Jordan reassigns Medicare benefits to Ihc Health Services Inc (Salt Lake City, UT). The 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 Kelli Jordan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kelli Jordan affiliated with any hospitals?

According to CMS data, Kelli Jordan is affiliated with Lds Hospital.

When was this NPI record last updated?

The NPPES record for Kelli Jordan was last updated on January 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.