IndividualActive
Kelsey Gleason, PA-C
NPI 1205217890 · Surgical Physician Assistant · Provo, UT
Provider details
- NPI number
- 1205217890
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 11085884-1206 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1055 N 500 W Ste 121
Provo, UT 84604
Phone: (801) 373-7350
Fax: (801) 812-5401
Street-level locationGet directions
Mailing address
1055 N 500 W
Provo, UT 84604-3305
Additional practice locations (2)
- 700 W 800 N Ste 100Orem, UT 84057-6301Phone: (801) 373-7350Fax: (801) 224-5337
- 1055 N 500 W Ste 121Provo, UT 84604Phone: (801) 373-7350Fax: (801) 812-5401
Registry dates
- Enumerated
- 2015-06-09
- Last updated
- 2023-11-27
- Certified
- 2020-03-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.