Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LI KELLY
NPI 1033972815
Nurse Practitioner - Psychiatric/Mental Health in Folsom, CA

Q: What is Li Kelly's NPI number?

The NPI number for Li Kelly is 1033972815. It was assigned to this individual provider in the NPPES registry on February 5, 2024.

Q: What is Li Kelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Li Kelly was last updated on August 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days 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.

Active since February 05, 2024PECOS Enrolled

2360 E BIDWELL ST STE 105, FOLSOM, CA 95630(855) 501-1004 Get Directions Write a Review

NPPES record last updated: August 14, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 14, 2026, Feb 5, 2024 (2 updates tracked since 2024).

On this page

About Li Kelly NPPES

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

LI KELLY (NPI 1033972815) is an individual psychiatric/mental health provider in Folsom, California, licensed in California (95028882) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Folsom.

NPPES Registry Identity

NPI1033972815

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameLI KELLY

Location Address2360 E BIDWELL ST STE 105Folsom, CA 95630-3406

Mailing Address3835 N Freeway Blvd Ste 100Sacramento, CA 95834-1954

Phone(855) 501-1004

Sole ProprietorYes

Enumeration DateFebruary 5, 2024

Last NPPES UpdateAugust 14, 20262 updates tracked since enumeration

NPPES CertifiedAugust 14, 2026

✔ NPI 1033972815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CA · 95028882

2360 E BIDWELL ST STE 105, Folsom, CA 95630

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Secondary Practice Location 1

Location 1306 Flower DrFolsom, CA 95630-4829 · Phone (916) 205-5055 · Fax (916) 205-5055

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Li Kelly 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95630 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

$92.61 typical visit price

range $60.44 – $180.85

Typical copayment $23.15 (range $15.11 – $45.21)

Most-billed visit code 99203

Established Patient

$105.95 typical visit price

range $19.88 – $148.15

Typical copayment $26.48 (range $4.97 – $37.03)

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 3

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

PEGAH PAJOUHI M.D.

Psychiatry & Neurology (Psychiatry)

2360 E BIDWELL ST STE 105
FOLSOM, CA 95630

Sacramento County (855) 501-1004

AMANDA JILL HORROCKS PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)

2360 E BIDWELL ST STE 105
FOLSOM, CA 95630

Sacramento County (855) 501-1004

OLIVIA O. SCHULZ LMFT

Marriage & Family Therapist

2360 E BIDWELL ST STE 105
FOLSOM, CA 95630

Sacramento County (916) 501-1004

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 Li Kelly's NPI number?

The NPI number for Li Kelly is 1033972815. It was assigned to this individual provider in the NPPES registry on February 5, 2024.

Where is Li Kelly located?

Li Kelly practices at 2360 E Bidwell St Ste 105, Folsom, CA 95630. The listed phone number is (855) 501-1004.

What is Li Kelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Li Kelly enrolled in Medicare?

Yes. Li Kelly is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Li Kelly was last updated on August 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days 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.