Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelcie Petty

Individual provider Physician Assistant · NPI 1497498059

Kelcie Petty is a Physician Assistant in Cedar City, Utah. Qualified in 2024, 2 years ago. Practices with Cedar Ridge Family Medicine, a 14-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
2
Licensed in
UT
In the registry since
2022

Practice location Address checks out

110 W 1325 N Ste 200
Cedar City, UT 84721-8179
Phone: (435) 586-7676
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 14139610-1206 (UT)

Record details

NPI number1497498059
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 20, 2022
Last updated in NPPESAugust 24, 2024
Certification dateAugust 24, 2024
Mailing address110 W 1325 N Ste 200, Cedar City, UT 84721-8179

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Cedar Ridge Family Medicine — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Cedar City