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NICOLE MAE KETRING AYSON M.D.
NPI 1013278704
Pediatrics in San Diego, CA

Active since May 30, 2012PECOS EnrolledAccepts Medicare Assignment
3665 KEARNY VILLA RD STE 501, SAN DIEGO, CA 92123(858) 966-5803 Get Directions Write a Review

NPPES record last updated: January 3, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 3, 2023, Sep 20, 2016, Aug 23, 2016 (3 updates tracked since 2016).

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

NPI1013278704
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameNICOLE MAE KETRING AYSONCredential: M.D.
Location Address3665 KEARNY VILLA RD STE 501San Diego, CA 92123-1953
Mailing Address3020 Childrens Way, Mc 5003San Diego, CA 92123-4223 · (858) 309-6300
Phone(858) 966-5803
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2012
Enumeration DateMay 30, 2012
Last NPPES UpdateJanuary 3, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2023
✔ NPI 1013278704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A128091
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3665 KEARNY VILLA RD STE 501, San Diego, CA 92123
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Other Names 1

Former Name (1)Nicole Mae Ketring M.d.

Secondary Practice Location 1

Location 11550 Broadway Ste 2San Diego, CA 92101-5713 · Phone (619) 515-2525

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID7012202294
PECOS Enrollment IDI20160826001584
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 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.

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 4

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

SHALON M. NIENOW MD
Pediatrics (Child Abuse Pediatrics)
3665 KEARNY VILLA RD STE 501
SAN DIEGO, CA 92123
San Diego County (858) 966-5980
RADY CHILDREN'S HOSPITAL SAN DIEGO
Special Hospital
3665 KEARNY VILLA RD STE 501
SAN DIEGO, CA 92123
San Diego County (406) 868-1792
DR. PREMI THOMAS SURESH M.D.
Pediatrics (Child Abuse Pediatrics)
3665 KEARNY VILLA RD STE 501
SAN DIEGO, CA 92123
San Diego County (858) 966-5980
SUZANNE P. STARLING M.D.
Pediatrics (Child Abuse Pediatrics)
3665 KEARNY VILLA RD STE 501
SAN DIEGO, CA 92123
San Diego County (858) 966-5803

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.

When was this NPI record last updated?

The NPPES record for Nicole Ayson was last updated on January 3, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.