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KELLY GODECKE M.D.
NPI 1851788897
Psychiatry & Neurology - Psychiatry in Salt Lake City, UT

Active since April 16, 2015PECOS Enrolled
99.47/100
CMS Quality Rating
501 S CHIPETA WAY, SALT LAKE CITY, UT 84108(406) 925-2712 Get Directions Write a Review

NPPES record last updated: November 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 2, 2021, Sep 28, 2016 (2 updates tracked since 2016).

About Kelly Godecke M.d. NPPES

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

KELLY GODECKE M.D. (NPI 1851788897) is an individual psychiatry provider in Salt Lake City, Utah, licensed in Utah (10093895-8905) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851788897
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameKELLY GODECKECredential: M.D.
Location Address501 S CHIPETA WAYSalt Lake City, UT 84108-1222
Mailing Address501 S Chipeta WaySalt Lake City, UT 84108-1222 · (406) 925-2712
Phone(406) 925-2712
Sole ProprietorYes
Enumeration DateApril 16, 2015
Last NPPES UpdateNovember 2, 20212 updates tracked since enumeration
NPPES CertifiedNovember 2, 2021
✔ NPI 1851788897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in UT · 10093895-8905
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
501 S CHIPETA WAY, Salt Lake City, UT 84108
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

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 Godecke M.d. 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 84108 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
$166.03 typical visit price
range $54.34 – $166.03
Typical copayment $41.50 (range $13.58 – $41.50)
Most-billed visit code 99205
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

99.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.57
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

DR. ERIC THAYNE MONSON MD, PHD
Psychiatry & Neurology (Psychiatry)
501 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 581-4096
KATRIEL TAN
Student in an Organized Health Care Education/Training Program
501 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (516) 497-0340
UNIVERSITY OF UTAH PEDIATRIC BEHAVIORAL HEALTH SERVICES
Clinic/Center (Adolescent and Children Mental Health)
501 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-6336
DR. AMY GALLOP WEAGLEY MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
501 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 581-2121
ATIYA S NASH
Counselor (Mental Health)
501 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-3000
VALERIE ELIZABETH SHAY MD
Student in an Organized Health Care Education/Training Program
501 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 581-7951
MAUREEN SIMES
Registered Nurse
501 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 583-2500
JENNIFER HARMON
Counselor (Mental Health)
501 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-2460

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 Godecke's NPI number?

The NPI number for Kelly Godecke is 1851788897. It was assigned to this individual provider in the NPPES registry on April 16, 2015.

Where is Kelly Godecke located?

Kelly Godecke practices at 501 S Chipeta Way, Salt Lake City, UT 84108. The listed phone number is (406) 925-2712.

What is Kelly Godecke's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Kelly Godecke enrolled in Medicare?

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

What insurance does Kelly Godecke accept?

Health plans from Molina Healthcare list Kelly Godecke 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 Godecke was last updated on November 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.