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

Mrs. Shalese Marie Killian, FNP-C

Individual provider Critical Care Medicine Registered Nurse · NPI 1346875325

Mrs. Shalese Marie Killian, FNP-C is a Nurse Practitioner in Roosevelt, Utah. Qualified in 2019, 7 years ago. Practices with Uintah Basin Medical Center, a 60-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
7
Licensed in
UT
In the registry since
2020
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

250 W 300 N
Roosevelt, UT 84066-2336
Phone: (435) 722-4691
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 9012696-4405 (UT)
Critical Care Medicine Registered Nurse Taxonomy 163WC0200X · Licence 9012696-3102 (UT)

Record details

NPI number1346875325
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedMarch 10, 2020
Last updated in NPPESMarch 21, 2020
Certification dateMarch 21, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Uintah Basin Medical Center — 60 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare