KELSIE MARIETTI NP
NPI 1902509482
Nurse Practitioner - Family in Brigham City, UT
About Kelsie Marietti Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELSIE MARIETTI NP (NPI 1902509482) is an individual family provider in Brigham City, Utah, licensed in Utah (9901000-4405) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, is affiliated with Mckay-dee Hospital, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
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
Kelsie Marietti 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 Kelsie Marietti reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Brigham City, UT 84302
- Reassigned Medicare billing, Utah enrollment
- 3,691 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 3
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mckay-Dee Hospital
Acute Care Hospitals · Ogden, UTBear River Valley Hospital
Acute Care Hospitals · Tremonton, UTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84302 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Kelsie Marietti's NPI number?
The NPI number for Kelsie Marietti is 1902509482. It was assigned to this individual provider in the NPPES registry on March 23, 2023.
Where is Kelsie Marietti located?
Kelsie Marietti practices at 867 N 575 W, Brigham City, UT 84302. The listed phone number is (801) 564-9678.
What is Kelsie Marietti's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kelsie Marietti enrolled in Medicare?
Yes. Kelsie Marietti 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 Kelsie Marietti's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelsie Marietti reassigns Medicare benefits to Ihc Health Services Inc (Brigham City, 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 Kelsie Marietti's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kelsie Marietti affiliated with any hospitals?
According to CMS data, Kelsie Marietti is affiliated with Mckay-Dee Hospital and Bear River Valley Hospital.
When was this NPI record last updated?
The NPPES record for Kelsie Marietti was last updated on March 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Kelsie Marietti, NP · NPI 1902509482
Family physician in Brigham City, Utah. Individual provider, active in the CMS NPPES registry since March 23, 2023.
## Identity
- **NPI:** 1902509482 (Entity type: Individual)
- **Enumerated:** March 23, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 9901000-4405 (Utah)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 867 N 575 W, Brigham City, UT 84302-4455
- **Phone:** (801) 564-9678
## 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:** Ihc Health Services Inc (NPI 1790169654, Brigham City, 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:** March 23, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1902509482) · Data from the CMS NPPES public registry.