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 and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
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.
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.
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
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** May 9, 2018
- **Other identifiers:** Other 95004735 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1033493747) · Data from the CMS NPPES public registry.