KELSEY UDY PA
NPI 1538634928
Physician Assistant in South Jordan, UT

Active since October 11, 2018PECOS EnrolledAccepts Medicare Assignment
10433 S REDWOOD RD, SOUTH JORDAN, UT 84095(801) 664-3585 Get Directions Write a Review

NPPES record last updated: December 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 3, 2022, Sep 29, 2020, Jan 22, 2020 and 1 more (4 updates tracked since 2018).

About Kelsey Udy Pa NPPES

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

KELSEY UDY PA (NPI 1538634928) is an individual physician assistant in South Jordan, Utah, licensed in Utah (11473563-1206) and active in the NPI registry since October 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

NPI1538634928
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELSEY UDYCredential: PA
Location Address10433 S REDWOOD RDSouth Jordan, UT 84095-8502
Mailing Address13348 S Market Center Dr Ste 100Riverton, UT 84065-8009 · (801) 923-6330
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 11, 2018
Last NPPES UpdateDecember 3, 20224 updates tracked since enumeration
NPPES CertifiedDecember 3, 2022
NPI 1538634928 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 · 11473563-1206
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.
10433 S REDWOOD RD, South Jordan, UT 84095

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

Kelsey Udy Pa 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 ID2961838081
PECOS Enrollment IDI20200210001980
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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
23 services23 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 84095 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 9

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

Physician Assistant
10433 S REDWOOD RD
SOUTH JORDAN, UT 84095
Nurse Practitioner (Family)
10433 S REDWOOD RD, SUITE 2
SOUTH JORDAN, UT 84095
Nurse Practitioner
10433 S REDWOOD RD
SOUTH JORDAN, UT 84095
Physician Assistant
10433 S REDWOOD RD
SOUTH JORDAN, UT 84095
Physician Assistant
10433 S REDWOOD RD
SOUTH JORDAN, UT 84095
Physician Assistant
10433 S REDWOOD RD
SOUTH JORDAN, UT 84095
Physician Assistant
10433 S REDWOOD RD
SOUTH JORDAN, UT 84095
Physician Assistant
10433 S REDWOOD RD
SOUTH JORDAN, UT 84095

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 Kelsey Udy's NPI number?

The NPI number for Kelsey Udy is 1538634928. It was assigned to this individual provider in the NPPES registry on October 11, 2018.

Where is Kelsey Udy located?

Kelsey Udy practices at 10433 S Redwood Rd, South Jordan, UT 84095. The listed phone number is (801) 664-3585.

What is Kelsey Udy's specialty?

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

Is Kelsey Udy enrolled in Medicare?

Yes. Kelsey Udy 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 Kelsey Udy accept?

Health plans from Select Health list Kelsey Udy 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 Kelsey Udy affiliated with any hospitals?

According to CMS data, Kelsey Udy is affiliated with University Of Utah Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Kelsey Udy was last updated on December 3, 2022. 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.