Doctor profile · Federal record
Dr. Kelli Groomer, P.A.
Physician Assistant · Medical Physician Assistant · Medical Physician Assistant · Medical Physician Assistant · Salt Lake City, UT
- NPI 1568412724
- Accepts Medicare
- 21 yrs in practice
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
8 Th Ave & C St
Salt Lake City, UT 841430001
(801) 408-3729 - Mailing address
-
Po Box 27128
Salt Lake City, UT 841270128
Credentials & registration
- NPI registered
- May 2006 — 20 yrs on file
- Profile last updated
- November 10, 2016
- Year of graduation
- 2005 — 21 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State licenses (3)
- Utah #6063472-1206 · Illinois #085.004349 · Illinois #385.003199
- Medicaid
- NV #100507903
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1568412724. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$30
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Legend Biotech USA Inc. | 1 | $29.89 |
By nature of payment
Hospital affiliations
Frequently asked questions
What is Dr. Kelli Groomer's medical specialty?
Dr. Kelli Groomer practices Physician Assistant in Salt Lake City, UT.
Where does Dr. Kelli Groomer practice?
Dr. Kelli Groomer practices at 8 Th Ave & C St, Salt Lake City, UT 841430001. Office phone: 8014083729.
What is Dr. Kelli Groomer's NPI?
Dr. Kelli Groomer's National Provider Identifier (NPI) is 1568412724, issued by NPPES.
Does Dr. Kelli Groomer accept Medicare assignment?
Yes. Dr. Kelli Groomer accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.