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KENNETH BALDEMOR REYES FNP-BC
NPI 1083907547
Nurse Practitioner - Family in San Diego, CA

Active since May 17, 2011PECOS EnrolledAccepts Medicare Assignment
438 CAMINO DEL RIO S STE 203, SAN DIEGO, CA 92108(619) 955-8507(619) 955-8508 Get Directions Write a Review

NPPES record last updated: January 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 10, 2025, Aug 3, 2022, Apr 4, 2022 and 3 more (6 updates tracked since 2015).

About Kenneth Baldemor Reyes Fnp-bc NPPES

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

KENNETH BALDEMOR REYES FNP-BC (NPI 1083907547) is an individual family provider in San Diego, California, licensed in California (95018998) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS and is a graduate of National Medical University (2021).

NPPES Registry Identity

NPI1083907547
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKENNETH BALDEMOR REYESCredential: FNP-BC
Location Address438 CAMINO DEL RIO S STE 203San Diego, CA 92108-3546
Mailing Address438 Camino Del Rio S Ste 203San Diego, CA 92108-3546
Phone(619) 955-8507
Fax(619) 955-8508
Sole ProprietorNo
Medical School CMSNational Medical UniversityGraduated 2021
Enumeration DateMay 17, 2011
Last NPPES UpdateJanuary 10, 20256 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2025
✔ NPI 1083907547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95018998
Also ListedRegistered NurseTaxonomy 163W00000X · License 95043997 (CA)
Also ListedLicensed Vocational NurseTaxonomy 164X00000X · License 223137 (CA)
438 CAMINO DEL RIO S STE 203, San Diego, CA 92108
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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

Kenneth Baldemor Reyes Fnp-bc 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.

PECOS PAC ID9133585185
PECOS Enrollment IDI20230516003646
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.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
707 services245 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
506 services216 patients
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179
This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.
330 services115 patients
Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347
An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.
293 services159 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
248 services116 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
145 services49 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92108 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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

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

LF CAPITAL INC
Internal Medicine
438 CAMINO DEL RIO S STE 203
SAN DIEGO, CA 92108
San Diego County (619) 955-8507

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 Kenneth Reyes's NPI number?

The NPI number for Kenneth Reyes is 1083907547. It was assigned to this individual provider in the NPPES registry on May 17, 2011.

Where is Kenneth Reyes located?

Kenneth Reyes practices at 438 Camino Del Rio S Ste 203, San Diego, CA 92108. The listed phone number is (619) 955-8507.

What is Kenneth Reyes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kenneth Reyes enrolled in Medicare?

Yes. Kenneth Reyes 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 Kenneth Reyes was last updated on January 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.