Kelsey Gleason, PA-C
NPI 1205217890ActiveIndividual· Physician Assistant, Surgical· Provo, UT
Physician Assistant, Surgical (PA-C) in Provo, Utah, licensed in UT, with an NPI issued in June 2015. Part D covered 11 prescriptions written in 2024, 100% of them generic.
Overview
| NPI | 1205217890 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Jun 9, 2015 |
| Last updated in NPPES | Nov 27, 2023 |
| Certified by provider | Mar 31, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | 11085884-1206 | UT |
| Physician Assistant | 363A00000X | 11085884-1206 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (IL) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 11 · 11 30-day fills |
|---|---|
| Total drug cost | $59.07 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Physician Assistant |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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