Emilee Kelly, AGNP - Medicare Nurse Practitioner in St George, UT

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Emilee Kelly, AGNP is a medicare enrolled "Nurse Practitioner - Adult Health" in St George, Utah. Her current practice location is 2019 E Riverside Dr Ste A101, St George, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 253-6886.

Emilee Kelly is licensed to practice in Utah (license number 6925143-4405) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1205688421.

Contact Information

Emilee Kelly, AGNP
2019 E Riverside Dr Ste A101,
St George, UT 84790-8147
(801) 253-6886
Not Available

Map and Direction




Provider's Profile

Full NameEmilee Kelly
GenderFemale
SpecialityNurse Practitioner - Adult Health
Location2019 E Riverside Dr Ste A101, St George, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1205688421
  • Provider Enumeration Date: 04/02/2024
  • Last Update Date: 04/02/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5193164663
  • Enrollment ID: I20240416003918

Medical Identifiers

Medical identifiers for Emilee Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205688421NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WW0000XRegistered Nurse - Wound Care 6925143-3102 (Utah)Secondary
363L00000XNurse Practitioner 6925143-4405 (Utah)Secondary
363LA2200XNurse Practitioner - Adult Health 6925143-4405 (Utah)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Emilee Kelly allows following entities to bill medicare on her behalf.
Entity NameEllsworth Foot And Ankle Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942549795
PECOS PAC ID: 2062778160
Enrollment ID: O20211110001673
Entity NameAmble Medical
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134865595
PECOS PAC ID: 2365821220
Enrollment ID: O20220623000525

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Emilee Kelly is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Emilee Kelly, AGNP
9980 S 300 W Ste 300,
Sandy, UT 84070-3654

Ph: (801) 253-6886		Emilee Kelly, AGNP
2019 E Riverside Dr Ste A101,
St George, UT 84790-8147

Ph: (801) 253-6886

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.