KELLY EGUCHI
NPI 1013453612
Nurse Practitioner - Psychiatric/Mental Health in Irvine, CA

Q: What is Kelly Eguchi's NPI number?

The NPI number for Kelly Eguchi is 1013453612. It was assigned to this individual provider in the NPPES registry on January 6, 2017.

Q: What is Kelly Eguchi'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 Eguchi was last updated on November 22, 2021. 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.

Active since January 06, 2017PECOS EnrolledAccepts Medicare Assignment

17782 COWAN STE A, IRVINE, CA 92614(949) 722-7118 Get Directions Write a Review

NPPES record last updated: November 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 22, 2021, Jul 20, 2021, Jul 26, 2018 and 2 more (5 updates tracked since 2017).

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About Kelly Eguchi NPPES

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

KELLY EGUCHI (NPI 1013453612) is an individual psychiatric/mental health provider in Irvine, California, licensed in California (95017830) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1013453612

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameKELLY EGUCHI

Location Address17782 COWAN STE AIrvine, CA 92614-6041

Mailing Address17782 Cowan Ste AIrvine, CA 92614-6041

Phone(949) 722-7118

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJanuary 6, 2017

Last NPPES UpdateNovember 22, 20215 updates tracked since enumeration

NPPES CertifiedNovember 22, 2021

✔ NPI 1013453612 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 · 95017830

Also ListedRegistered NurseTaxonomy 163W00000X · License 95135887 (CA)

17782 COWAN STE A, Irvine, CA 92614

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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 and accepts Medicare assignment

Kelly Eguchi 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 ID5597141747

PECOS Enrollment IDI20220926002785

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

128 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92614 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

JASON GIANG MSW

Social Worker (Clinical)