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Active NPI 1013312339 Individual Practitioner Female Practitioner

Nicole Kelly , PA-C

Physician Assistant • Draper, UT

Professional Overview & Biography Verified Profile Summary

Nicole Kelly, PA-C is a registered healthcare professional specializing in Physician Assistant in Draper, UT. Practice services are available at 12340 S 450 E under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12340 S 450 E

Draper, UT 840208154

Telephone 8015019797
Associated Practice Facility / Clinic
🏢 Biorestoration Medical Facility NPI 1902286297

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Draper, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.4 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
32 Specialists

Practicing in Draper, UT (1904 Statewide)

Telehealth Adoption Rate
9.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License UT 9190865-1206

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Nyssa Seaton , PA-C

Physician Assistant

NPI 1023730850

Physician Assistant (Certified)

Laurie Childs , PA-C

Physician Assistant - Medical

NPI 1235355819

Physician Assistant (Certified)

Dr. Kathryn Holmes , DNP, APRN, FNP-C

Nurse Practitioner - Family

NPI 1457181158

Doctor of Nursing Practice, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Dr. Amy Killen , MD

General Practice

NPI 1992779185

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 01, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 01, 2016

Registered at 12340 S 450 E, DRAPER, UT 840208154 (Tel: 8015019797)

📍
Updated Business Mailing Address August 01, 2016

Registered at 8899 S 700 E, SUITE 250, SANDY, UT 840701810 (Tel: 8016132711)

👤
Provider Name / Credentials Updated August 01, 2016

Recorded as NICOLE KELLY, P.A.-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 01, 2016

Physician Assistant (License #9190865-1206 in UT)

🟢
Initial NPI Registration & Enumeration October 29, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013312339
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 29, 2014
Last Update: August 01, 2016
Sole Proprietor: No

Mailing Address

8899 S 700 E, Suite 250

Sandy, UT 840701810

Phone: 8016132711

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.