KELLY EGUCHI
NPI 1013453612
Nurse Practitioner - Psychiatric/Mental Health in Irvine, CA
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
Specialties & Licenses 2
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Kelly Eguchi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Irvine, CA 92614
- Reassigned Medicare billing, California enrollment
- 39 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.
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.
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.
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.
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 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.
Where is Kelly Eguchi located?
Kelly Eguchi practices at 17782 Cowan Ste A, Irvine, CA 92614. The listed phone number is (949) 722-7118.
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.
Is Kelly Eguchi enrolled in Medicare?
Yes. Kelly Eguchi 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 Kelly Eguchi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Eguchi reassigns Medicare benefits to Progeny Psychiatric Clinic A Medical Corporation (Irvine, 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 Kelly Eguchi'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 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.
# Kelly Eguchi · NPI 1013453612
Psychiatric/Mental Health physician in Irvine, California. Individual provider, active in the CMS NPPES registry since January 6, 2017.
## Identity
- **NPI:** 1013453612 (Entity type: Individual)
- **Enumerated:** January 6, 2017
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 95017830 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 17782 COWAN STE A, Irvine, CA 92614-6041
- **Phone:** (949) 722-7118
## 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:** Progeny Psychiatric Clinic A Medical Corporation (NPI 1548735202, Irvine, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** November 22, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1013453612) · Data from the CMS NPPES public registry.