KELLI ELAINE GROOMER P.A.
NPI 1568412724
Physician Assistant in Salt Lake City, UT

Active since May 10, 2006PECOS EnrolledAccepts Medicare Assignment
8 TH AVE & C ST, SALT LAKE CITY, UT 84143(801) 408-3729 Get Directions Write a Review

NPPES record last updated: November 10, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelli Elaine Groomer P.a. NPPES

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

KELLI ELAINE GROOMER P.A. (NPI 1568412724) is an individual physician assistant in Salt Lake City, Utah, licensed in Utah (6063472-1206) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Lds Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1568412724
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLI ELAINE GROOMERCredential: P.A.
Location Address8 TH AVE & C STSalt Lake City, UT 84143-0001
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128 · (801) 408-3729
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateMay 10, 2006
Last NPPES UpdateNovember 10, 2016
NPI 1568412724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in UT · 6063472-1206
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.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 6063472-1206 (UT), 085.004349 (IL), 385.003199 (IL)
8 TH AVE & C ST, Salt Lake City, UT 84143

Other Identifiers 7

Medicaid100507903NV
Other86519Pehp #
Other26837Altius #
Medicare ID-Type Unspecified807246800ID
Medicare UPINQ59676
Medicare ID-Type Unspecified008011057UT
Medicare ID-Type Unspecified4307349MT · For Tin 870442845

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

Kelli Elaine Groomer P.a. 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 ID7416979620
PECOS Enrollment IDI20051230000283
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.

Telephone, internet, or electronic health record assessment and management with written report by consulting physician, at least 5 minutes 99451
This service involves a consulting physician assessing your health condition via a phone or internet interaction. The doctor will spend at least 5 minutes discussing your health concerns. Afterwards, a written report summarizing the findings and recommendations will be provided for your reference.
18 services18 patients

Hospital Affiliations CMS Care Compare 4

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

Intermountain Medical Center

Acute Care Hospitals · Murray, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460010
Location5121 South Cottonwood StreetMurray, UT 84107 · Salt Lake County
Emergency services Birthing friendly

Intermountain Health Alta View Hospital

Acute Care Hospitals · Sandy, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460044
Location9660 South 1300 EastSandy, UT 84094 · Salt Lake County
Emergency services Birthing friendly

Riverton Hospital

Acute Care Hospitals · Riverton, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460058
Location3741 West 12600 SouthRiverton, UT 84065 · 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
$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 11

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

Clinical Nurse Specialist (Family Health)
8 TH AVE & C ST
SALT LAKE CITY, UT 84143
Speech-Language Pathologist
8 TH AVE & C ST
SALT LAKE CITY, UT 84143
Physical Therapist
8 TH AVE & C ST
SALT LAKE CITY, UT 84143
Hospitalist
8 TH AVE & C ST
SALT LAKE CITY, UT 84143
Nurse Practitioner (Family)
8 TH AVE & C ST
SALT LAKE CITY, UT 84143
General Acute Care Hospital
8 TH AVE & C ST
SALT LAKE CITY, UT 84143
Physician Assistant
8 TH AVE & C ST
SALT LAKE CITY, UT 84143
Physician Assistant
8 TH AVE & C ST
SALT LAKE CITY, UT 84143

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 Groomer's NPI number?

The NPI number for Kelli Groomer is 1568412724. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Where is Kelli Groomer located?

Kelli Groomer practices at 8 Th Ave & C St, Salt Lake City, UT 84143. The listed phone number is (801) 408-3729.

What is Kelli Groomer's specialty?

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

Is Kelli Groomer enrolled in Medicare?

Yes. Kelli Groomer 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 Kelli Groomer accept?

Health plans from Select Health list Kelli Groomer 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 Kelli Groomer affiliated with any hospitals?

According to CMS data, Kelli Groomer is affiliated with Lds Hospital, Intermountain Medical Center, Intermountain Health Alta View Hospital and Riverton Hospital.

When was this NPI record last updated?

The NPPES record for Kelli Groomer was last updated on November 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.