Kelsie J Anderson, APRN
Individual provider Active NPI Nurse Practitioner · Ogden, UT
NPI 1548752827 · NPPES record last updated Apr 6, 2026
Key facts
- NPI
- 1548752827
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 5900300-4405 (UT)
- Practice address
- 4403 Harrison Blvd Ste 3450
Ogden, UT 84403-3282 - Phone
- (801) 357-3850
- NPI assigned
- Jun 3, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ihc Health Services Inc
Practice addresses (Care Compare)
4403 Harrison Blvd
Suite 3490
Ogden, UT 84403-3284
Phone (801) 387-2650
Hospital & facility affiliations
- Intermountain Health McKay-Dee Hospital
- Intermountain Health Layton Hospital
- Bear River Valley Hospital
- Intermountain Health Logan Regional Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181008003542 | UT | Practitioner - Nurse Practitioner | 9234481953 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5900300-4405 | UT | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Current |
Accepting new patients | |
| University of Utah Adult Services | Current |
Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients | |
| Advanced Wound Care of Utah PLLC | Current |
Accepting new patients | |
| Ihc Health Services, Inc. | Current |
Accepting new patients | |
| University of Utah Adult Services | Current |
Accepting new patients | |
| Ihc Health Services Inc | Past | Accepting new patients |
Locations
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
4403 Harrison Blvd
Ste 3490
Ogden, UT 84403
Phone (801) 387-2650
4403 Harrison Blvd
Ste 3450
Ogden, UT 84403
Phone (801) 357-3850
2000 Circle of Hope Dr
Slc, UT 84112
Phone (801) 581-7840
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
1950 Circle of Hope Dr
Slc, UT 84112
Phone (801) 585-0100
451 E Bishop Federal Ln
South Salt Lake, UT 84115
Phone (801) 487-7557
1300 SE Cardinal Ct
Ste 190
Vancouver, WA 98683
Phone (360) 448-4479
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5900300-4405 | UT | Yes |
| Family Nurse Practitioner | 363LF0000X | 5900300-4405 | UT |
Addresses
Primary practice location
4403 Harrison Blvd Ste 3450
Ogden, UT 84403-3282
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Other practice location 1
2000 Circle Of Hope Dr
Salt Lake City, UT 84112-5550
Phone (801) 587-7000
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRReguest_Service | Other | Bluemark LLC / Office Ally |
| Direct Messaging Address | kanderson298017@direct.med.utah.edu | Direct | University of Utah |
Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.