Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. KELLY CROSS IMLAY APRN
NPI 1548043029
Nurse Practitioner - Family in Clinton, UT

Active since August 17, 2023PECOS Enrolled
1857 N 1000 W STE 1, CLINTON, UT 84015(801) 745-5794 Get Directions Write a Review

NPPES record last updated: October 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 6, 2026, Aug 29, 2026, May 28, 2026 and 2 more (5 updates tracked since 2023).

About Mrs. Kelly Cross Imlay Aprn NPPES

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

MRS. KELLY CROSS IMLAY APRN (NPI 1548043029) is an individual family provider in Clinton, Utah, licensed in Utah (196456-4405) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548043029
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KELLY CROSS IMLAYCredential: APRN
Location Address1857 N 1000 W STE 1Clinton, UT 84015-8969
Mailing Address1857 N 1000 W Ste 1Clinton, UT 84015-8969 · (801) 745-5794 · Fax (610) 273-5812
Sole ProprietorYes
Enumeration DateAugust 17, 2023
Last NPPES UpdateOctober 6, 20265 updates tracked since enumeration
NPPES CertifiedOctober 6, 2026
✔ NPI 1548043029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in UT · 196456-4405
1857 N 1000 W STE 1, Clinton, UT 84015

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kelly Cross Imlay Aprn 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 Reassignment

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

General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Utah enrollment
  • 145 clinicians in this Medicare group

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 84015 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

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

Nurse Practitioner
1857 N 1000 W STE 1
CLINTON, UT 84015

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 Kelly Imlay's NPI number?

The NPI number for Kelly Imlay is 1548043029. It was assigned to this individual provider in the NPPES registry on August 17, 2023.

Where is Kelly Imlay located?

Kelly Imlay practices at 1857 N 1000 W Ste 1, Clinton, UT 84015. The listed phone number is (801) 745-5794.

What is Kelly Imlay's specialty?

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

Is Kelly Imlay enrolled in Medicare?

Yes. Kelly Imlay is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelly Imlay's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Imlay reassigns Medicare benefits to Signify Health, LLC (Dallas, TX). 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 Kelly Imlay's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Imlay accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Kelly Imlay 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 Kelly Imlay was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.