NICOLE MAE KETRING AYSON M.D.
NPI 1013278704
Pediatrics in San Diego, CA
About Nicole Mae Ketring Ayson M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE MAE KETRING AYSON M.D. (NPI 1013278704) is an individual pediatrics provider in San Diego, California, licensed in California (A128091) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Diego, and is a graduate of University Of Texas Southwestern Medical School At Dallas (2012).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Nicole Mae Ketring Ayson M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Nicole Ayson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Diego, CA 92103
- Reassigned Medicare billing, California enrollment
- 1,100 clinicians in this Medicare group
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 92123 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92123
SAN DIEGO, CA 92123
SAN DIEGO, CA 92123
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 Nicole Ayson's NPI number?
The NPI number for Nicole Ayson is 1013278704. It was assigned to this individual provider in the NPPES registry on May 30, 2012. The provider is also known as Nicole Mae Ketring M.D..
Where is Nicole Ayson located?
Nicole Ayson practices at 3665 Kearny Villa Rd Ste 501, San Diego, CA 92123. The listed phone number is (858) 966-5803.
What is Nicole Ayson's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Nicole Ayson enrolled in Medicare?
Yes. Nicole Ayson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Nicole Ayson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Ayson reassigns Medicare benefits to Family Health Centers Of San Diego Inc (San Diego, CA). The 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 Nicole Ayson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Nicole Ayson was last updated on January 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Nicole Mae Ketring Ayson, M.D. · NPI 1013278704
Pediatrics physician in San Diego, California. Individual provider, active in the CMS NPPES registry since May 30, 2012.
## Identity
- **NPI:** 1013278704 (Entity type: Individual)
- **Enumerated:** May 30, 2012
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** A128091 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3665 KEARNY VILLA RD STE 501, San Diego, CA 92123-1953
- **Phone:** (858) 966-5803
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Family Health Centers Of San Diego Inc (NPI 1629456900, San Diego, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Texas Southwestern Medical School At Dallas, class of 2012
## Record status
- **NPPES last updated:** January 3, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1013278704) · Data from the CMS NPPES public registry.