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KELCIE PETTY
NPI 1497498059
Physician Assistant in Cedar City, UT

Active since April 20, 2022PECOS EnrolledAccepts Medicare Assignment
110 W 1325 N STE 200, CEDAR CITY, UT 84721(435) 586-7676 Get Directions Write a Review

NPPES record last updated: August 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 24, 2024, Apr 20, 2022 (2 updates tracked since 2022).

About Kelcie Petty NPPES

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

KELCIE PETTY (NPI 1497498059) is an individual physician assistant in Cedar City, Utah, licensed in Utah (14139610-1206) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with Cedar City Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1497498059
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELCIE PETTY
Location Address110 W 1325 N STE 200Cedar City, UT 84721-8179
Mailing Address110 W 1325 N Ste 200Cedar City, UT 84721-8179 · (435) 586-7676
Phone(435) 586-7676
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateApril 20, 2022
Last NPPES UpdateAugust 24, 20242 updates tracked since enumeration
NPPES CertifiedAugust 24, 2024
✔ NPI 1497498059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in UT · 14139610-1206
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
110 W 1325 N STE 200, Cedar City, UT 84721
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Select Health, University of Utah Health Plans.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

Kelcie Petty 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 ID9830619469
PECOS Enrollment IDI20250225003988
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.

Hospital Affiliations CMS Care Compare 2

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

Cedar City Hospital

Acute Care Hospitals · Cedar City, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460007
Location1303 North Main StreetCedar City, UT 84721 · Iron County
Emergency services Birthing friendly

St. George Regional Hospital

Acute Care Hospitals · St George, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460021
Location1380 East Medical Center DriveSt George, UT 84790 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84721 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
$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 6

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

MATTHEW DAVID RYNEARSON PA
Physician Assistant (Medical)
110 W 1325 N STE 200
CEDAR CITY, UT 84721
Iron County (435) 586-7676
TENILLE MARSHANE ANDERSON
Physician Assistant
110 W 1325 N STE 200
CEDAR CITY, UT 84721
Iron County (435) 586-7676
MAKENZIE BISHOP
Physician Assistant
110 W 1325 N STE 200
CEDAR CITY, UT 84721
Iron County (435) 586-7676
JESSICA BARNEY PA
Physician Assistant
110 W 1325 N STE 200
CEDAR CITY, UT 84721
Iron County (435) 586-7676
DR. MICHAEL BRENT BULLOCH D.O.
Family Medicine
110 W 1325 N STE 200
CEDAR CITY, UT 84721
Iron County (435) 586-7676
KYLE WILLIAM RANDALL CNP
Nurse Practitioner
110 W 1325 N STE 200
CEDAR CITY, UT 84721
Iron County (435) 586-7676

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 Kelcie Petty's NPI number?

The NPI number for Kelcie Petty is 1497498059. It was assigned to this individual provider in the NPPES registry on April 20, 2022.

Where is Kelcie Petty located?

Kelcie Petty practices at 110 W 1325 N Ste 200, Cedar City, UT 84721. The listed phone number is (435) 586-7676.

What is Kelcie Petty's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kelcie Petty enrolled in Medicare?

Yes. Kelcie Petty 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 Kelcie Petty accept?

Health plans from Molina Healthcare, Select Health and University of Utah Health Plans list Kelcie Petty 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 Kelcie Petty affiliated with any hospitals?

According to CMS data, Kelcie Petty is affiliated with Cedar City Hospital and St. George Regional Hospital.

When was this NPI record last updated?

The NPPES record for Kelcie Petty was last updated on August 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.