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KELLY PERKINS PA
NPI 1689187627
Physician Assistant in Salt Lake City, UT

Active since November 13, 2017PECOS Enrolled
470 E 3900 S STE 200, SALT LAKE CITY, UT 84107(801) 747-2800 Get Directions Write a Review

NPPES record last updated: November 11, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 11, 2021, Nov 13, 2017 (2 updates tracked since 2017).

About Kelly Perkins Pa NPPES

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

KELLY PERKINS PA (NPI 1689187627) is an individual physician assistant in Salt Lake City, Utah, licensed in Utah (104183641206) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689187627
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLY PERKINSCredential: PA
Location Address470 E 3900 S STE 200Salt Lake City, UT 84107-2332
Mailing Address1302 N 900 WOrem, UT 84057-2900 · (801) 360-6247
Phone(801) 747-2800
Sole ProprietorNo
Enumeration DateNovember 13, 2017
Last NPPES UpdateNovember 11, 20212 updates tracked since enumeration
NPPES CertifiedNovember 11, 2021
✔ NPI 1689187627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in UT · 104183641206✔ Licensed in UT · 10418364-1206
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.
470 E 3900 S STE 200, Salt Lake City, UT 84107
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Perkins Pa 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84107 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers17 claims17 services$185.80 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

KAYLEE SARAH NELSON PA-C
Physician Assistant
470 E 3900 S STE 200
SALT LAKE CITY, UT 84107
Salt Lake County (801) 747-2800
DANIEL PETERSON FNP-C
Nurse Practitioner (Family)
470 E 3900 S STE 200
SALT LAKE CITY, UT 84107
Salt Lake County (801) 747-2800
LYNAE CLARK SORENSEN APRN
Nurse Practitioner (Family)
470 E 3900 S STE 200
SALT LAKE CITY, UT 84107
Salt Lake County (801) 747-2800
JACLYNN WILKERSON
Nurse Practitioner (Family)
470 E 3900 S STE 200
SALT LAKE CITY, UT 84107
Salt Lake County (801) 747-2800

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 Perkins's NPI number?

The NPI number for Kelly Perkins is 1689187627. It was assigned to this individual provider in the NPPES registry on November 13, 2017.

Where is Kelly Perkins located?

Kelly Perkins practices at 470 E 3900 S Ste 200, Salt Lake City, UT 84107. The listed phone number is (801) 747-2800.

What is Kelly Perkins's specialty?

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

Is Kelly Perkins enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kelly Perkins was last updated on November 11, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.