DR. MACKENZIE KELLY MD
NPI 1942761580
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Salt Lake City, UT
About Dr. Mackenzie Kelly Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MACKENZIE KELLY MD (NPI 1942761580) is an individual adult reconstructive orthopaedic surgery provider in Salt Lake City, Utah, licensed in Utah (14210189-1205) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Holy Cross Hospital - Salt Lake, and maintains a secondary practice location in Portland.
NPPES Registry Identity
Specialties & Licenses 4
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Mackenzie Kelly Md 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Holy Cross Hospital - Salt Lake
Acute Care Hospitals · Salt Lake City, UTUniversity Of Utah Hospitals And Clinics
Acute Care Hospitals · Salt Lake City, UTOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SALT LAKE CITY, UT 84108
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 Mackenzie Kelly's NPI number?
The NPI number for Mackenzie Kelly is 1942761580. It was assigned to this individual provider in the NPPES registry on March 27, 2019.
Where is Mackenzie Kelly located?
Mackenzie Kelly practices at 590 S Wakara Way, Salt Lake City, UT 84108. The listed phone number is (801) 581-2121.
What is Mackenzie Kelly's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.
Is Mackenzie Kelly enrolled in Medicare?
Yes. Mackenzie Kelly 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.
What insurance does Mackenzie Kelly accept?
Health plans from BridgeSpan Health Company, Molina Healthcare and Regence BlueCross BlueShield of Utah list Mackenzie Kelly 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.
Is Mackenzie Kelly affiliated with any hospitals?
According to CMS data, Mackenzie Kelly is affiliated with Holy Cross Hospital - Salt Lake and University Of Utah Hospitals And Clinics.
When was this NPI record last updated?
The NPPES record for Mackenzie Kelly was last updated on December 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.
