MS. KAYLA BROOKE MENJIVAR NP
NPI 1003612060
Nurse Practitioner - Family in Santa Maria, CA

Q: What is Kayla Menjivar's NPI number?

The NPI number for Kayla Menjivar is 1003612060. It was assigned to this individual provider in the NPPES registry on February 20, 2025.

Q: What is Kayla Menjivar's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kayla Menjivar was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.

Active since February 20, 2025PECOS Enrolled

1418 E MAIN ST STE 210, SANTA MARIA, CA 93454(805) 928-3678 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 13, 2025, Feb 20, 2025 (2 updates tracked since 2025).

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About Ms. Kayla Brooke Menjivar Np NPPES

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

MS. KAYLA BROOKE MENJIVAR NP (NPI 1003612060) is an individual family provider in Santa Maria, California, licensed in California (95031486) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003612060

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. KAYLA BROOKE MENJIVARCredential: NP

Location Address1418 E MAIN ST STE 210Santa Maria, CA 93454-4836

Mailing Address3922 Club House CtLompoc, CA 93436-1368

Phone(805) 928-3678

Sole ProprietorNo

Enumeration DateFebruary 20, 2025

Last NPPES UpdateMay 13, 20252 updates tracked since enumeration

NPPES CertifiedMay 13, 2025

✔ NPI 1003612060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95031486

1418 E MAIN ST STE 210, Santa Maria, CA 93454

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Kayla Brooke Menjivar Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93454 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

$94.71 typical visit price

range $62.01 – $184.40

Typical copayment $23.67 (range $15.50 – $46.10)

Most-billed visit code 99203

Established Patient

$108.26 typical visit price

range $20.60 – $151.20

Typical copayment $27.06 (range $5.15 – $37.80)

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 12

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

SARAH M KELLY CNM

Advanced Practice Midwife