KERRY-ANN ALYSCIA KELLY MD
NPI 1023367141
Obstetrics & Gynecology in Pleasanton, CA
About Kerry-ann Alyscia Kelly Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KERRY-ANN ALYSCIA KELLY MD (NPI 1023367141) is an individual obstetrics & gynecology provider in Pleasanton, California, licensed in California (A126079) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Morehouse School Of Medicine (2011).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted Insurance
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
Kerry-ann Alyscia Kelly Md 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 Reassignments
11Medicare enrollment records show Kerry-ann Kelly reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Newark, CA 94560
- Reassigned Medicare billing, California enrollment
- 900 clinicians in this Medicare group
Newark, CA 94560
- Reassigned Medicare billing, California enrollment
- 435 clinicians in this Medicare group
Milpitas, CA 95035
- Reassigned Medicare billing, California enrollment
- Also billed through NPI 1043354020 (California), NPI 1629301346 (California)
- 2,460 clinicians in this Medicare group
Belmont, CA 94002
- Reassigned Medicare billing, California enrollment
- 1,191 clinicians in this Medicare group
Fairfield, CA 94533
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Northbay Physicians Surgery Center, LLC
- 516 clinicians in this Medicare group
El Dorado Hills, CA 95762
- Reassigned Medicare billing, California enrollment
- 152 clinicians in this Medicare group
Elizabethtown, KY 42701
- Reassigned Medicare billing, Kentucky enrollment
- 1,896 clinicians in this Medicare group
Canton, GA 30115
- Reassigned Medicare billing, Georgia enrollment
- 59 clinicians in this Medicare group
Atlanta, GA 30342
- Reassigned Medicare billing, Georgia enrollment
- 487 clinicians in this Medicare group
Athens, GA 30606
- Reassigned Medicare billing, Georgia enrollment
- 208 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.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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 Kerry-ann Kelly's NPI number?
The NPI number for Kerry-ann Kelly is 1023367141. It was assigned to this individual provider in the NPPES registry on September 5, 2012.
Where is Kerry-ann Kelly located?
Kerry-ann Kelly practices at 4725 First St Ste 100, Pleasanton, CA 94655. The listed phone number is (925) 734-3333.
What is Kerry-ann Kelly's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Kerry-ann Kelly enrolled in Medicare?
Yes. Kerry-ann Kelly 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 organizations bill Medicare for Kerry-ann Kelly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kerry-ann Kelly reassigns Medicare benefits to 11 organizations: Alameda Health System (Newark, CA), University Healthcare Alliance (Newark, CA), County Of Santa Clara (Milpitas, CA), Dignity Health Medical Foundation (Belmont, CA), Northbay Healthcare Group (Fairfield, CA) and 6 more organizations, listed in the Medicare section above. 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 Kerry-ann Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kerry-ann Kelly accept?
Health plans from CareSource list Kerry-ann Kelly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kerry-ann Kelly was last updated on February 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Kerry-Ann Alyscia Kelly, MD · NPI 1023367141
Obstetrics & Gynecology physician in Pleasanton, California. Individual provider, active in the CMS NPPES registry since September 5, 2012.
## Identity
- **NPI:** 1023367141 (Entity type: Individual)
- **Enumerated:** September 5, 2012
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** A126079 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4725 FIRST ST STE 100, Pleasanton, CA 94655
- **Phone:** (925) 734-3333
## 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:** 11 organizations under Medicare reassignment (form CMS-855R): Alameda Health System (NPI 1497956288, Newark, CA); University Healthcare Alliance (NPI 1760531198, Newark, CA); County Of Santa Clara (NPI 1285629899, Milpitas, CA); Dignity Health Medical Foundation (NPI 1174531859, Belmont, CA); Northbay Healthcare Group (NPI 1821147786, Fairfield, CA); and 6 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Morehouse School Of Medicine, class of 2011
## Record status
- **NPPES last updated:** February 9, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1023367141) · Data from the CMS NPPES public registry.