KELLY AYALA DNP, APNP
NPI 1093282634
Nurse Practitioner - Primary Care in San Francisco, CA

Active since November 01, 2018PECOS EnrolledAccepts Medicare Assignment
1459 18TH ST # 206, SAN FRANCISCO, CA 94107(415) 580-0806 Get Directions Write a Review

NPPES record last updated: June 28, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 10, 2023, Apr 9, 2021, Nov 30, 2018 and 1 more (4 updates tracked since 2018).

About Kelly Ayala Dnp, Apnp NPPES

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

KELLY AYALA DNP, APNP (NPI 1093282634) is an individual primary care provider in San Francisco, California, licensed in California (95020954) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS, maintains 10 additional practice locations, and is a graduate of University Of Wisconsin School Of Medicine (2018).

NPPES Registry Identity

NPI1093282634
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameKELLY AYALACredential: DNP, APNP
Location Address1459 18TH ST # 206San Francisco, CA 94107-2801
Mailing Address1459 18th St # 206San Francisco, CA 94107-2801 · (415) 580-0806
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2018
Enumeration DateNovember 1, 2018
Last NPPES UpdateJune 28, 20234 updates tracked since enumeration
NPPES CertifiedJune 14, 2023
✔ NPI 1093282634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
Licenses✔ Licensed in CA · 95020954✔ Licensed in WI · 8788-33
1459 18TH ST # 206, San Francisco, CA 94107

Secondary Practice Locations 10

Location 1502 W Valley BlvdColton, CA 92324-2249 · Phone (909) 825-3202
Location 21574 W Base Line StSan Bernardino, CA 92411-1777 · Phone (909) 386-1880
Location 37965 Sierra AveFontana, CA 92336-3329 · Phone (909) 356-4459
Location 4742 W Highland AveSan Bernardino, CA 92405-3839 · Phone (909) 881-7320
Location 5425 E Foothill BlvdRialto, CA 92376-5153 · Phone (909) 546-1050
Location 64990 Arlington Ave Ste DRiverside, CA 92504-2757 · Phone (951) 785-9011
Location 77576 Sterling AveSan Bernardino, CA 92410-4273 · Phone (909) 381-8983
Location 8264 N Highland Springs Ave Ste 1ABanning, CA 92220-3045 · Phone (951) 769-7191
Location 912980 Frederick St Ste IMoreno Valley, CA 92553-5263 · Phone (951) 243-3868
Location 103972 N Waterman Ave Ste 104San Bernardino, CA 92404-1767 · Phone (909) 433-9700

Other Identifiers 1

Medicaid1093282634WI

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 Ayala Dnp, Apnp 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 ID4385989961
PECOS Enrollment IDI20181231001737, I20250527000541
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 Reassignments

4

Medicare enrollment records show Kelly Ayala reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care
1520 N MOUNTAIN AVE BLDG F, SUITE 128
Ontario, CA 91762
  • Reassigned Medicare billing, California enrollment
  • 10 clinicians in this Medicare group
Internal Medicine
W180N8000 TOWN HALL RD
Menomonee Falls, WI 53051
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,294 clinicians in this Medicare group
Internal Medicine
8701 WATERTOWN PLANK RD
Milwaukee, WI 53226
  • Reassigned Medicare billing, Wisconsin enrollment
  • 3,983 clinicians in this Medicare group
General Practice
1433 N WATER ST
Milwaukee, WI 53202
  • Reassigned Medicare billing, Illinois, Minnesota and Wisconsin enrollments
  • 5 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 94107 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

Community Health Worker
1459 18TH ST # 206
SAN FRANCISCO, CA 94107
Community Health Worker
1459 18TH ST # 206
SAN FRANCISCO, CA 94107
Nurse Practitioner (Family)
1459 18TH ST # 206
SAN FRANCISCO, CA 94107

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 Ayala's NPI number?

The NPI number for Kelly Ayala is 1093282634. It was assigned to this individual provider in the NPPES registry on November 1, 2018.

Where is Kelly Ayala located?

Kelly Ayala practices at 1459 18th St # 206, San Francisco, CA 94107. The listed phone number is (415) 580-0806.

What is Kelly Ayala's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Kelly Ayala enrolled in Medicare?

Yes. Kelly Ayala 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 organizations bill Medicare for Kelly Ayala's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Ayala reassigns Medicare benefits to 4 organizations: Nagasamudra S Ashok MD Inc (Ontario, CA), Froedtert & the Medical College Of Wisconsin Community Physicians, Inc. (Menomonee Falls, WI), The Medical College Of Wisconsin, Inc. (Milwaukee, WI) and Corr Health Wi, Sc (Milwaukee, WI). Each 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 Ayala'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 Ayala was last updated on June 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.