MRS. KELLY JEAN BRINKERHOFF NURSE PRACTITIONER
NPI 1700396504
Nurse Practitioner - Family in Ogden, UT
About Mrs. Kelly Jean Brinkerhoff Nurse Practitioner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KELLY JEAN BRINKERHOFF NURSE PRACTITIONER (NPI 1700396504) is an individual family provider in Ogden, Utah, licensed in Utah (5858437-4405) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Ogden.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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 Jean Brinkerhoff Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kelly Brinkerhoff reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Ogden, UT 84403
- Reassigned Medicare billing, Utah enrollment
- 1,729 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 84401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Brinkerhoff's NPI number?
The NPI number for Kelly Brinkerhoff is 1700396504. It was assigned to this individual provider in the NPPES registry on October 5, 2017.
Where is Kelly Brinkerhoff located?
Kelly Brinkerhoff practices at 2408 Van Buren Ave, Ogden, UT 84401. The listed phone number is (801) 778-6277.
What is Kelly Brinkerhoff's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kelly Brinkerhoff enrolled in Medicare?
Yes. Kelly Brinkerhoff is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kelly Brinkerhoff's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Brinkerhoff reassigns Medicare benefits to Ihc Health Services Inc (Ogden, 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 Brinkerhoff's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kelly Brinkerhoff was last updated on September 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Mrs. Kelly Jean Brinkerhoff, NURSE PRACTITIONER · NPI 1700396504
Family physician in Ogden, Utah. Individual provider, active in the CMS NPPES registry since October 5, 2017.
## Identity
- **NPI:** 1700396504 (Entity type: Individual)
- **Enumerated:** October 5, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 5858437-4405 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 2408 VAN BUREN AVE, Ogden, UT 84401-2712
- **Phone:** (801) 778-6277
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Ihc Health Services Inc (NPI 1538470737, Ogden, UT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 26, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1700396504) · Data from the CMS NPPES public registry.