Kelly D Jensen, D.O.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

OT012058 Issued in PA

Practice address

280 N Hospital Dr
Price, UT 84501-4216

Phone

(435) 637-2663

NPI assigned

Jul 19, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Orthopedic Surgery

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Castleview Physician Practice LLCGroup PAC ID 6305995598, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Community Nursing Services Home health agency, West Valley City, UT, CCN 467001
• Symbii Home Health South Home health agency, Murray, UT, CCN 467342
• Elevate Home Health, LLC Home health agency, Price, UT, CCN 467359
• Rocky Mountain Home Health - Utah Home health agency, Woods Cross, UT, CCN 467061
• Castleview Hospital Hospital, Price, UT, CCN 460011

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: muh8853@yourcarecommunity.org
• Direct secure messaging: kelly.jensen.1@19848.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Castleview Physician Practice LLC

  • Pediatrics Physician
  • Price, UT
  • NPI 1013364884
  Medicare reassignment Care Compare group NPD
• Castleview Physician Practices, LLC

  • Family Medicine Physician
  • Castle Dale, UT
  • NPI 1598082158
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Castleview Hospital LLC

  • Rural Acute Care Hospital
  • Price, UT
  • NPI 1417064205
  Care Compare affiliation
• Community Nursing Service

  • Home Health Agency
  • West Valley City, UT
  • NPI 1497703870
  Care Compare affiliation
• Elevate Home Health LLC

  • Home Health Agency
  • Price, UT
  • NPI 1831679588
  Care Compare affiliation
• Exemplar Healthcare, Inc.

  • Home Health Agency
  • Murray, UT
  • NPI 1164901484
  Care Compare affiliation
• Rmce Utah Home Health and Hospice LLC

  • Home Health Agency
  • Woods Cross, UT
  • NPI 1225914138
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346025600000",
    "number": "1497955330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 N HOSPITAL DR STE 3",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "845014211",
            "telephone_number": "435-623-7260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 N HOSPITAL DR",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "845014216",
            "telephone_number": "435-637-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "KELLY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-19",
        "last_updated": "2012-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "OT012058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jan Thornton
• Kyle Jeffery
• Jeffrey W. Madsen MD LLC
• Cacilia Jensen
• Elizabeth Roxanne Jensen
• Jay Jeppson, PHD
• Britainy D. Johnson
• Dallas Lyman Johnson, PH.D.
• Inez Johnson
• Raberta Jo Johnson

• Orthopaedic Surgery Physician in Price, UT
• Providers in Price, UT by specialty
• Orthopaedic Surgery Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.