Individual provider Active NPI

Kylie Ann Money, PA-C

  • Physician Assistant
  • Ogden, UT
National Provider Identifier
1871058131
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
7757779-1206 Issued in UT
Practice address
5290 S 400 E
Ogden, UT 84405-7194
Phone
(801) 476-1777
Fax
(801) 479-1479
NPI assigned
Jan 31, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 7757779-1206 UT Primary

Addresses

Primary practice location

5290 S 400 E
Ogden, UT 84405-7194

Mailing address

5290 S 400 E
Ogden, UT 84405-7194
Phone (801) 476-1777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, UT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200323000914 CO Practitioner - Physician Assistant 4789012972 Reassigns benefits to 1 organization
I20210728002741 UT Practitioner - Physician Assistant 4789012972 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ogden Clinic Specialty Services LLCGroup PAC ID 1658781422, 131 clinicians

Practice addresses (Care Compare)

4650 Harrison Blvd
Ogden, UT 84403-4303
Phone (801) 475-3482

4700 Harrison Blvd
Ogden, UT 84403-4303
Phone (801) 475-3300

5290 S 400
Ogden, UT 84405-7194
Phone (801) 476-1777

6112 S 1550
Ogden, UT 84405-5007
Phone (801) 475-3800

970 Medical Dr
Brigham City, UT 84302-3284

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
7757779-1206UTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ogden Clinic PC Physician Assistant Current Accepting new patients

Locations

970 Medical Dr
Ste 300
Brigham City, UT 84302

970 Medical Dr
Ste 309
Brigham City, UT 84302
Phone (385) 238-3375

4403 Harrison Blvd
Ste 1685
Ogden, UT 84403
Phone (801) 387-7165

4650 Harrison Blvd
Ogden, UT 84403
Phone (801) 475-3481

1491 E Ridgeline Dr
South Ogden, UT 84405
Phone (317) 790-7550

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1871058131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5290 S 400 E",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844057194",
            "telephone_number": "801-476-1777",
            "fax_number": "801-479-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5290 S 400 E",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844057194",
            "telephone_number": "801-476-1777",
            "fax_number": "801-479-1479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONEY",
        "first_name": "KYLIE",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-31",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "7757779-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

Verify at the official NPI Registry.