KELSIE NOELLE KEGLEY
NPI 1013769561
Nurse Practitioner - Family in Irvine, CA

Active since April 05, 2024PECOS Enrolled
9 TECHNOLOGY DR, IRVINE, CA 92618(949) 923-3200 Get Directions Write a Review

NPPES record last updated: November 21, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 21, 2025, Sep 17, 2025, Apr 5, 2024 (3 updates tracked since 2024).

About Kelsie Noelle Kegley NPPES

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

KELSIE NOELLE KEGLEY (NPI 1013769561) is an individual family provider in Irvine, California, licensed in California (95028813) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013769561
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELSIE NOELLE KEGLEY
Location Address9 TECHNOLOGY DRIrvine, CA 92618-2302
Mailing AddressPo Box 35380Las Vegas, NV 89133-5380
Sole ProprietorNo
Enumeration DateApril 5, 2024
Last NPPES UpdateNovember 21, 20253 updates tracked since enumeration
NPPES CertifiedNovember 21, 2025
✔ NPI 1013769561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95028813
Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License 95086214 (CA)
9 TECHNOLOGY DR, Irvine, CA 92618

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelsie Noelle Kegley 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

2

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

Addiction Medicine
14591 NEWPORT AVE
Tustin, CA 92780
  • Reassigned Medicare billing, California enrollment
  • 2,052 clinicians in this Medicare group
Family Medicine
3460 KATELLA AVE
Los Alamitos, CA 90720
  • Reassigned Medicare billing, California enrollment
  • 228 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 92618 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 4

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

Physician Assistant
9 TECHNOLOGY DR
IRVINE, CA 92618
Physician Assistant
9 TECHNOLOGY DR
IRVINE, CA 92618
Nurse Practitioner (Family)
9 TECHNOLOGY DR
IRVINE, CA 92618
Nurse Practitioner (Family)
9 TECHNOLOGY DR
IRVINE, CA 92618

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 Kelsie Kegley's NPI number?

The NPI number for Kelsie Kegley is 1013769561. It was assigned to this individual provider in the NPPES registry on April 5, 2024.

Where is Kelsie Kegley located?

Kelsie Kegley practices at 9 Technology Dr, Irvine, CA 92618. The listed phone number is (949) 923-3200.

What is Kelsie Kegley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kelsie Kegley enrolled in Medicare?

Yes. Kelsie Kegley is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kelsie Kegley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelsie Kegley reassigns Medicare benefits to 2 organizations: Healthcare Partners Affiliates Medical Group (Tustin, CA) and Centers For Family Medicine Gp (Los Alamitos, CA). Each 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 Kelsie Kegley'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 Kelsie Kegley was last updated on November 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.