KELLY MARIE PATEL FNP
NPI 1033493747
Nurse Practitioner - Family in San Diego, CA
About Kelly Marie Patel Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY MARIE PATEL FNP (NPI 1033493747) is an individual family provider in San Diego, California, licensed in California (95004735) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Diego, and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Other Identifiers 1
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 Marie Patel Fnp 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 Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Diego, CA 92109
- Reassigned Medicare billing, California enrollment
- 1,100 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 92109 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92109
SAN DIEGO, CA 92109
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 Patel's NPI number?
The NPI number for Kelly Patel is 1033493747. It was assigned to this individual provider in the NPPES registry on September 30, 2011. The provider is also known as Kelly Marie Kruczek.
Where is Kelly Patel located?
Kelly Patel practices at 3705 Mission Blvd, San Diego, CA 92109. The listed phone number is (619) 515-2444.
What is Kelly Patel's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kelly Patel enrolled in Medicare?
Yes. Kelly Patel 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 Patel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Patel reassigns Medicare benefits to Family Health Centers Of San Diego, Inc (San Diego, 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 Patel'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 Patel was last updated on May 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 Marie Patel, FNP · NPI 1033493747
Family physician in San Diego, California. Individual provider, active in the CMS NPPES registry since September 30, 2011.
## Identity
- **NPI:** 1033493747 (Entity type: Individual)
- **Enumerated:** September 30, 2011
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95004735 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3705 MISSION BLVD, San Diego, CA 92109-7104
- **Phone:** (619) 515-2444
## 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:** Family Health Centers Of San Diego, Inc (NPI 1386689701, San Diego, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** May 9, 2018
- **Other identifiers:** Other 95004735 (CA)
---
Source: [NPI Profile](https://npiprofile.com/npi/1033493747) · Data from the CMS NPPES public registry.