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KAYLEE PETERSEN ARNP
NPI 1003152364
Nurse Practitioner - Psychiatric/Mental Health in San Diego, CA

Active since December 13, 2012PECOS Enrolled
200 W ARBOR DR, SAN DIEGO, CA 92103(800) 926-8273(888) 539-8781 Get Directions Write a Review

NPPES record last updated: February 28, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 28, 2022, Nov 29, 2021, Dec 15, 2015 (3 updates tracked since 2015).

About Kaylee Petersen Arnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAYLEE PETERSEN ARNP (NPI 1003152364) is an individual psychiatric/mental health provider in San Diego, California, licensed in California (95018282) and active in the NPI registry since December 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003152364
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKAYLEE PETERSENCredential: ARNP
Location Address200 W ARBOR DRSan Diego, CA 92103-9000
Mailing AddressPo Box 232410San Diego, CA 92193-2410
Phone(800) 926-8273
Fax(888) 539-8781
Sole ProprietorNo
Enumeration DateDecember 13, 2012
Last NPPES UpdateFebruary 28, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2022
✔ NPI 1003152364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95018282
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License AP60293083 (WA)
200 W ARBOR DR, San Diego, CA 92103
Open in Google Maps ↗

Other Identifiers 1

Medicaid1003152364WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaylee Petersen Arnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Kaylee Petersen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Regents Of The University Of California
0.1 mi
Psychiatry
200 W ARBOR DR
San Diego, CA 92103
  • Reassigned Medicare billing, California enrollment
  • 220 clinicians in this Medicare group
NPI 1508968967 (800) 926-8273
Community Research Foundation Inc
1.6 mi
Community/Behavioral Health
545 LAUREL ST
San Diego, CA 92101
  • Reassigned Medicare billing, California enrollment
  • 147 clinicians in this Medicare group
NPI 1225251812 (619) 233-4399

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RAMIN MOTARJEMI M.D.
Internal Medicine (Geriatric Medicine)
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (858) 249-2500
DR. KYLE PALMER EDMONDS M.D., FAAHPM
Hospice, Inpatient
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
SHAWN RAVEENTH VEDAMANI MD
Anesthesiology
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
DALE MICHAEL TRUJILLO NP
Nurse Practitioner
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
DR. EUGENE THOMAS RICHARDSON IV MD
Internal Medicine (Infectious Disease)
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
IRENE NEVAREZ NP
Nurse Practitioner
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
WILLIAM JAMES MOSS M.D.
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (508) 395-4189
JAMES HAMILTON JR. PA-C
Physician Assistant (Surgical)
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (858) 657-8200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaylee Petersen's NPI number?

The NPI number for Kaylee Petersen is 1003152364. It was assigned to this individual provider in the NPPES registry on December 13, 2012.

Where is Kaylee Petersen located?

Kaylee Petersen practices at 200 W Arbor Dr, San Diego, CA 92103. The listed phone number is (800) 926-8273.

What is Kaylee Petersen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kaylee Petersen enrolled in Medicare?

Yes. Kaylee Petersen is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kaylee Petersen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kaylee Petersen reassigns Medicare benefits to 2 organizations: Regents Of The University Of California (San Diego, CA) and Community Research Foundation Inc (San Diego, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kaylee Petersen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kaylee Petersen accept?

Health plans from Providence Health Plan list Kaylee Petersen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kaylee Petersen was last updated on February 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.