KELLY M. JEPPESEN MD – NPI #1568790558
Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
KELLY JEPPESEN is a physician located in MONTICELLO, UT. NPPES has assigned the NPI number 1568790558 to KELLY JEPPESEN on December 02, 2009. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.
The NPI profile was previously updated about 11 years ago on Aug 06, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KELLY JEPPESEN below.
NPI Profile for
KELLY M. JEPPESEN
(more than 16 years ago)
SUITE A
MONTICELLO, UT 84535-1054 Phone: (435) 587-5054 Fax: (435) 587-3004
MONTICELLO, UT 84535-0308 Phone: (435) 587-2116 Fax: (435) 587-3004
Identifiers for KELLY JEPPESEN
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | UT | 1568790558 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207Q00000X - Family Medicine (Primary) |
UT | 7730032-1205 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.
Additional Information
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
- Order Power Mobility Devices
KELLY JEPPESEN is affiliated with the following medical group(s):
- HOSPITAL
- BLUE MOUNTAIN HOSPITAL802 SOUTH 200 WEST
BLANDING, UT 84511 - MERCY REGIONAL MEDICAL CENTER1010 THREE SPRINGS BLVD
DURANGO, CO 81301 - SAN JUAN HOSPITAL380 WEST 100 NORTH
MONTICELLO, UT 84535
- BLUE MOUNTAIN HOSPITAL802 SOUTH 200 WEST
- HOME HEALTH AGENCY
- ROCKY MOUNTAIN HOME CARE576 WEST 900 SOUTH, SUITE 105
WOODS CROSS, UT 84010
- ROCKY MOUNTAIN HOME CARE576 WEST 900 SOUTH, SUITE 105
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See the complete CMS Data Dissemination Notice here.