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 |
Hospital affiliations
Frequently asked questions
What is Dr. Kelsey Dietrich's medical specialty?
Dr. Kelsey Dietrich practices Family Nurse Practitioner in Salt Lake City, UT.
Where does Dr. Kelsey Dietrich practice?
Dr. Kelsey Dietrich practices at 324 E 10Th Ave Ste 200, Salt Lake City, UT 841032869. Office phone: 8014087660.
What is Dr. Kelsey Dietrich's NPI?
Dr. Kelsey Dietrich's National Provider Identifier (NPI) is 1013619857, issued by NPPES.
Does Dr. Kelsey Dietrich accept Medicare assignment?
Yes. Dr. Kelsey Dietrich accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.