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KELLY JO PHILLIPS APRN
NPI 1679346068
Nurse Practitioner - Family in Sandy, UT

Active since November 06, 2023PECOS Enrolled
8686 S 1300 E, SANDY, UT 84094(801) 997-0368 Get Directions Write a Review

NPPES record last updated: November 12, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kelly Jo Phillips Aprn NPPES

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

KELLY JO PHILLIPS APRN (NPI 1679346068) is an individual family provider in Sandy, Utah, licensed in Utah (7964962-4405) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679346068
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY JO PHILLIPSCredential: APRN
Location Address8686 S 1300 ESandy, UT 84094-1947
Mailing Address2426 N 840 WLehi, UT 84043-3404 · (801) 404-4942
Phone(801) 997-0368
Sole ProprietorNo
Enumeration DateNovember 6, 2023
Last NPPES UpdateNovember 12, 2023
NPPES CertifiedNovember 12, 2023
✔ NPI 1679346068 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 · 7964962-4405
8686 S 1300 E, Sandy, UT 84094
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Jo Phillips 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 Phillips reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Insight Family Practice LLC
Same address
Family
8686 S 1300 E STE L102L104
Sandy, UT 84094
  • Reassigned Medicare billing, Utah enrollment
  • 3 clinicians in this Medicare group
NPI 1053954727 (801) 997-0368

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 84094 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 3

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

CAMILLE SULLIVAN
Counselor (Mental Health)
8686 S 1300 E
SANDY, UT 84094
Salt Lake County (801) 709-0748
JENNIFER BRYANT ACMHC
Counselor (Mental Health)
8686 S 1300 E
SANDY, UT 84094
Salt Lake County (801) 709-0748
CORINNE SULLIVAN
Counselor (Addiction (Substance Use Disorder))
8686 S 1300 E
SANDY, UT 84094
Salt Lake County (801) 709-0748

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 Phillips's NPI number?

The NPI number for Kelly Phillips is 1679346068. It was assigned to this individual provider in the NPPES registry on November 6, 2023.

Where is Kelly Phillips located?

Kelly Phillips practices at 8686 S 1300 E, Sandy, UT 84094. The listed phone number is (801) 997-0368.

What is Kelly Phillips's specialty?

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

Is Kelly Phillips enrolled in Medicare?

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

Which organization bills Medicare for Kelly Phillips's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Phillips reassigns Medicare benefits to Insight Family Practice LLC (Sandy, 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 Kelly Phillips's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Phillips accept?

Health plans from University of Utah Health Plans list Kelly Phillips 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 Phillips was last updated on November 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.