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Nicole Kelly, P.A.-C

NPI 1013312339ActiveIndividual· Physician Assistant· Draper, UT

Opted out of Medicare from March 2025 to March 2027. Physician Assistant (P.A.-C) in Draper, Utah, licensed in UT, with an NPI issued in October 2014. Part D covered 134 prescriptions written in 2024, 99% of them generic. Acella Pharmaceuticals, LLC reported $15.48 in payments in 2024, mostly food and beverage.

Overview

NPI1013312339
StatusActive
Entity typeIndividual
CredentialP.A.-C
Sole proprietorNo
NPI issuedOct 29, 2014
Last updated in NPPESAug 1, 2016

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X9190865-1206UT

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026
Opt-outOpted out Mar 13, 2025 – Mar 13, 2027
Can order and referYes

During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.

Part D prescriptions in 2024

Prescriptions (claims)134 · 321 30-day fills
Patients24
Total drug cost$4,979
Generic share99% of claims

Medicare sources and data years

Industry payments (Open Payments)

  • 2024$15.48 · 1 payment from 1 company

Top paying companies in 2024

CompanyAmountPayments
Acella Pharmaceuticals, LLC$15.481

What the 2024 payments were for

  • Food and Beverage$15.48 · 1 payment

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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