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KELSEY SAN MIGUEL LOR
NPI 1023847365
Nurse Practitioner in Chino, CA

Active since July 26, 2024PECOS Enrolled
7483 JERSEY ST, CHINO, CA 91708(909) 851-2129 Get Directions Write a Review

NPPES record last updated: July 26, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kelsey San Miguel Lor NPPES

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

KELSEY SAN MIGUEL LOR (NPI 1023847365) is an individual nurse practitioner in Chino, California, licensed in California (95029835) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023847365
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKELSEY SAN MIGUEL LOR
Location Address7483 JERSEY STChino, CA 91708-9134
Mailing Address7483 Jersey StChino, CA 91708-9134 · (909) 851-2129
Phone(909) 851-2129
Sole ProprietorNo
Enumeration DateJuly 26, 2024
NPPES CertifiedJuly 26, 2024
✔ NPI 1023847365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95029835
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
7483 JERSEY ST, Chino, CA 91708
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelsey San Miguel Lor 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 Reassignment

Medicare enrollment records show Kelsey Lor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Prohealth Partners A Medical Group Inc
5.1 mi
Cardiovascular Disease
5450 JEFFERSON AVE STE 2
Chino, CA 91710
  • Reassigned Medicare billing, California enrollment
  • 279 clinicians in this Medicare group
NPI 1326700626 (909) 981-8383

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 91708 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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.

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 Kelsey Lor's NPI number?

The NPI number for Kelsey Lor is 1023847365. It was assigned to this individual provider in the NPPES registry on July 26, 2024.

Where is Kelsey Lor located?

Kelsey Lor practices at 7483 Jersey St, Chino, CA 91708. The listed phone number is (909) 851-2129.

What is Kelsey Lor's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kelsey Lor enrolled in Medicare?

Yes. Kelsey Lor is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelsey Lor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Lor reassigns Medicare benefits to Prohealth Partners A Medical Group Inc (Chino, 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 Kelsey Lor'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 Kelsey Lor was last updated on July 26, 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.