BRENNA GRACE KELLY MD
NPI 1861195018
Dermatology in Salt Lake City, UT

Active since March 27, 2023PECOS Enrolled
HELIX: 30 N MARIO CAPECCHI RM 1S100, SALT LAKE CITY, UT 84112(801) 581-2121 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 23, 2024, Mar 27, 2023 (2 updates tracked since 2023).

About Brenna Grace Kelly Md NPPES

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

BRENNA GRACE KELLY MD (NPI 1861195018) is an individual dermatology provider in Salt Lake City, Utah, licensed in Utah (14144897-1205) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861195018
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameBRENNA GRACE KELLYCredential: MD
Location AddressHELIX: 30 N MARIO CAPECCHI RM 1S100Salt Lake City, UT 84112
Mailing AddressHelix: 30 N Mario Capecchi Rm 1s100Salt Lake City, UT 84112 · (801) 581-2121
Sole ProprietorNo
Enumeration DateMarch 27, 2023
Last NPPES UpdateSeptember 23, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2024
NPI 1861195018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in UT · 14144897-1205
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
HELIX: 30 N MARIO CAPECCHI RM 1S100, Salt Lake City, UT 84112

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Brenna Grace Kelly Md 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 84112 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.

Other Providers at the Same Location NPPES 6

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

Dermatology
HELIX: 30 N MARIO CAPECCHI RM 1S100
SALT LAKE CITY, UT 84112
Dermatology
HELIX: 30 N MARIO CAPECCHI RM 1S100
SALT LAKE CITY, UT 84112
Dermatology
HELIX: 30 N MARIO CAPECCHI RM 1S100
SALT LAKE CITY, UT 84112
Dermatology
HELIX: 30 N MARIO CAPECCHI RM 1S100
SALT LAKE CITY, UT 84112
Dermatology
HELIX: 30 N MARIO CAPECCHI RM 1S100
SALT LAKE CITY, UT 84112
Dermatology
HELIX: 30 N MARIO CAPECCHI RM 1S100
SALT LAKE CITY, UT 84112

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 Brenna Kelly's NPI number?

The NPI number for Brenna Kelly is 1861195018. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Where is Brenna Kelly located?

Brenna Kelly practices at Helix: 30 N Mario Capecchi Rm 1s100, Salt Lake City, UT 84112. The listed phone number is (801) 581-2121.

What is Brenna Kelly's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Brenna Kelly enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Brenna Kelly was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.