KAITLIN ELLISON NP
NPI 1730864786
Nurse Practitioner - Women's Health in South Ogden, UT
About Kaitlin Ellison Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAITLIN ELLISON NP (NPI 1730864786) is an individual women's health provider in South Ogden, Utah, licensed in Utah (10385255-4405) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kaitlin Ellison Np 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.
Medicare Billing Reassignment
Medicare enrollment records show Kaitlin Ellison reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
South Ogden, UT 84405
- Reassigned Medicare billing, Utah enrollment
- 15 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.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84405 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 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SOUTH OGDEN, UT 84405
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 Kaitlin Ellison's NPI number?
The NPI number for Kaitlin Ellison is 1730864786. It was assigned to this individual provider in the NPPES registry on June 19, 2023.
Where is Kaitlin Ellison located?
Kaitlin Ellison practices at 1525 E 6000 S, South Ogden, UT 84405. The listed phone number is (801) 337-5800.
What is Kaitlin Ellison's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.
Is Kaitlin Ellison enrolled in Medicare?
Yes. Kaitlin Ellison 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.
Which organization bills Medicare for Kaitlin Ellison's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kaitlin Ellison reassigns Medicare benefits to Circle Of Life Inc (South 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 Kaitlin Ellison's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kaitlin Ellison accept?
Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Kaitlin Ellison 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 Kaitlin Ellison was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 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.
# Kaitlin Ellison, NP · NPI 1730864786
Women's Health physician in South Ogden, Utah. Individual provider, active in the CMS NPPES registry since June 19, 2023.
## Identity
- **NPI:** 1730864786 (Entity type: Individual)
- **Enumerated:** June 19, 2023
- **Primary specialty:** Nurse Practitioner - Women's Health · taxonomy 363LW0102X
- **State license:** 10385255-4405 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 1525 E 6000 S, South Ogden, UT 84405-7144
- **Phone:** (801) 337-5800 · **Fax:** (801) 337-5809
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Circle Of Life Inc (NPI 1548284078, South Ogden, UT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** September 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1730864786) · Data from the CMS NPPES public registry.