Doctor profile · Federal record
Dr. KELSEY DIETRICH, MSN, FNP-BC
Family Nurse Practitioner (CMS: NURSE PRACTITIONER) · Registered Nurse · SALT LAKE CITY, UT
- NPI 1013619857
- Accepts Medicare
- 3 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
324 E 10TH AVE STE 200
SALT LAKE CITY, UT 841032869
(801) 408-7660 - Mailing address
-
1477 S 500 E
SALT LAKE CITY, UT 841052046
Credentials & registration
- NPI registered
- March 2023 — 3 yrs on file
- Profile last updated
- April 18, 2023
- Year of graduation
- 2023 — 3 yrs since
- Specialty taxonomy
- 363LF0000X — NUCC code
- State licenses (2)
- Utah #12764506-4405 · Utah #12764506-3102
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1013619857. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$53
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| INTUITIVE SURGICAL, INC. | 1 | $52.95 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
23
Patients
23
Total drug cost
$64
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Oxycodone Hcl | Generic | 23 | 23 | $64 |