KELLY MARIE SCOTT PMHNP
NPI 1013420801
Nurse Practitioner - Psychiatric/Mental Health in San Diego, CA

Q: What is Kelly Scott's NPI number?

The NPI number for Kelly Scott is 1013420801. It was assigned to this individual provider in the NPPES registry on November 15, 2017.

Q: What is Kelly Scott's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Scott was last updated on July 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since November 15, 2017PECOS Enrolled

2630 1ST AVE, SAN DIEGO, CA 92103(619) 795-8746 Get Directions Write a Review

NPPES record last updated: July 30, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 30, 2024, Nov 15, 2017 (2 updates tracked since 2017).

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About Kelly Marie Scott Pmhnp NPPES

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

KELLY MARIE SCOTT PMHNP (NPI 1013420801) is an individual psychiatric/mental health provider in San Diego, California, licensed in California (95015026) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013420801

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameKELLY MARIE SCOTTCredential: PMHNP

Location Address2630 1ST AVESan Diego, CA 92103-6599

Mailing Address2630 1st AveSan Diego, CA 92103-6599 · (619) 234-2158 · Fax (619) 487-9739

Phone(619) 795-8746

Sole ProprietorNo

Enumeration DateNovember 15, 2017

Last NPPES UpdateJuly 30, 20242 updates tracked since enumeration

NPPES CertifiedJuly 30, 2024

✔ NPI 1013420801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in CA · 95015026✔ Licensed in OH · 0216030

2630 1ST AVE, San Diego, CA 92103

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Marie Scott Pmhnp 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

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

San Diego American Indian Health Center

Same address

Addiction (Substance Use Disorder)

2630 1ST AVE
San Diego, CA 92103

Reassigned Medicare billing, California enrollment
51 clinicians in this Medicare group

NPI 1003902917 (619) 234-2158

Signature Health, Inc.

2,037 mi

Mental Health

5410 TRANSPORTATION BLVD, UNIT 4
Garfield Heights, OH 44125

Reassigned Medicare billing, Ohio enrollment
342 clinicians in this Medicare group

NPI 1679767289 (216) 663-6100

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.

SAN DIEGO AMERICAN INDIAN HEALTH CENTER

Counselor (Addiction (Substance Use Disorder))