Kelli Kemenah Mauric, WHNP-BC, APRN - Medicare Nurse Practitioner in Eden, UT

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Kelli Kemenah Mauric, WHNP-BC, APRN is a medicare enrolled "Nurse Practitioner - Women's Health" in Eden, Utah. Her current practice location is 3772 N Mountainoak Dr, Eden, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 710-2825.

Kelli Kemenah Mauric is licensed to practice in Utah (license number 10115460-4405) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1245353416.

Contact Information

Kelli Kemenah Mauric, WHNP-BC, APRN
3772 N Mountainoak Dr,
Eden, UT 84310
(801) 710-2825
Not Available

Map and Direction




Provider's Profile

Full NameKelli Kemenah Mauric
GenderFemale
SpecialityNurse Practitioner - Women's Health
Location3772 N Mountainoak Dr, Eden, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1245353416
  • Provider Enumeration Date: 04/10/2007
  • Last Update Date: 06/21/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2769432293
  • Enrollment ID: I20180403001591

Medical Identifiers

Medical identifiers for Kelli Kemenah Mauric such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245353416NPI-NPPES
0827627MedicaidOH
10115460-4405OtherUTAPRN STATE LICENSURE
NP-07962OtherOHOHIO BOARD OF NURSING - CERTIFICATE OF AUTHORITY FOR WHNP-BC LICENSURE - OH
000000356173OtherOHANTHEM B/C B/S
193200000XOtherUTMULTI-SPECIALTY GROUP TAXONOMY BALANCE THE BRAIN PROFESSIONAL CORPORATION
363LW0102XOtherUTNURSE PRACTITIONER - WOMENS HEALTH TAXONOMY
MAU1-0427-9585OtherOHNATIONAL CERTIFICATION CORPORATION -USA WOMENS HEALTH NURSE PRACTITIONER WHNP-BC
1073270666OtherUTNPI BALANCE THE BRAIN PROFESSIONAL CORPORATION
193200000XOtherUTPROVIDER MULTI-SPECIALTY GROUP - SECONDARY TAXONOMY BALANCE THE BRAIN PROF CORP
356173OtherOHBUCKEYE
I20180403001591OtherPECOS ENROLLMENT ID
R04778OtherOHSUMMACARE
10115460-8900OtherUTAPRN CONTROLLED SUBSTANCE ID
104279585OtherNATIONAL CERTIFICATION CORPORATION - WHNP-BC (BOARD CERTIFIED)
APP0002758OtherUTCOPIC RRG VIA BAXTER & ASSOCIATES LLC CERTIFICATE OF LIABILITY INSURANCE
P01571485OtherOHMEDICARE RR
RN266333OtherOHNATIONAL COUNCIL OF NURSING STATE BOARDS & LICENSURE REGISTERED NURSES
740142OtherOHBUCKEYE MEDICAID
APRN.CNP.07962OtherOHWHNP-BC WITH CERTIFICATE TO PRESCRIBE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LW0102XNurse Practitioner - Women's Health NP-07962 (Ohio)Secondary
363LW0102XNurse Practitioner - Women's Health 10115460-4405 (Utah)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelli Kemenah Mauric allows following entities to bill medicare on her behalf.
Entity NameCircle Of Life Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548284078
PECOS PAC ID: 5193703544
Enrollment ID: O20040712000677

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelli Kemenah Mauric is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelli Kemenah Mauric, WHNP-BC, APRN
3772 N Mountainoak Dr,
Eden, UT 84310

Ph: (801) 710-2825		Kelli Kemenah Mauric, WHNP-BC, APRN
3772 N Mountainoak Dr,
Eden, UT 84310

Ph: (801) 710-2825

Reviews and Comments


Nurse Practitioner Nurses in Eden, UT

Jordan Ryann Musgrave, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4756 Creekview Dr, Eden, UT 84310
Phone: 801-529-3910    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.