Kelsey Eliza Allen, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

9498523-1204 Issued in UT

Practice address

200 N 400 E
Panguitch, UT 84759-7803

Phone

(435) 676-8842

NPI assigned

Apr 22, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kelsey Moore Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in UT, OR2 enrollments

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 2

Specialty

Family Practice

Education

Lincoln Memorial University Medical Department, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Garfield CountyGroup PAC ID 6305744459, shared by 6 NPIs, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Intermountain Health Garfield Memorial Hospital Hospital, Panguitch, UT, CCN 461333
• Intermountain Health Cedar City Hospital Hospital, Cedar City, UT, CCN 460007

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kallen810616@wm.providencedirect.org

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.

• Garfield County

  • Multi-Specialty Clinic/Center
  • Panguitch, UT
  • NPI 1356350219

  Family Medicine, UT

  Medicare reassignment NPD
• Garfield County

  • Critical Access Hospital
  • Panguitch, UT
  • NPI 1508836867

  UT

  Medicare reassignment NPD
• Harney District Hospital

  • Critical Access Hospital
  • Burns, OR
  • NPI 1285742338

  OR

  Medicare reassignment NPD
• Wallowa County Health Care District

  • Critical Access Hospital Clinic/Center
  • Enterprise, OR
  • NPI 1447256250

  Family Medicine, OR

  Medicare reassignment NPD
• Garfield County

  • Clinic/Center
  • Panguitch, UT
  • NPI 1598200297
  NPD
• Harney District Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Burns, OR
  • NPI 1558447714
  NPD
• Harney District Hospital

  • Multi-Specialty Clinic/Center
  • Burns, OR
  • NPI 1972113306
  NPD
• Wallowa County Health Care District

  • Rural Health Clinic/Center
  • Enterprise, OR
  • NPI 1295338333

  Family Medicine

  NPD
• Wallowa County Health Care District

  • Rural Health Clinic/Center
  • Joseph, OR
  • NPI 1790167831

  Family Medicine

  NPD

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

• Garfield County

  • Critical Access Hospital
  • Panguitch, UT
  • NPI 1508836867

  Hospital

  Care Compare affiliation
• Ihc Health Services, Inc.

  • General Acute Care Hospital
  • Cedar City, UT
  • NPI 1538178801

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1398124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1619397221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 389",
            "city": "PANGUITCH",
            "state": "UT",
            "postal_code": "847590389",
            "telephone_number": "435-676-8842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N 400 E",
            "city": "PANGUITCH",
            "state": "UT",
            "postal_code": "847597803",
            "telephone_number": "435-676-8842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "KELSEY",
        "middle_name": "ELIZA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-22",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "9498523-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRReguestService",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.3",
            "affiliationName": "Bluemark LLC / Office Ally",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "1300 SE Cardinal Ct Ste 190",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986839683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "MOORE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Deann Robinson Brown, R.N.C.N.M
• Sherrie Burningham
• Carl Van Gils, DPM, PC

• All providers in Panguitch, UT
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; 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.