KERI S. H. WARDWELL M.D.
NPI 1104017573
Family Medicine in Harbor City, CA

Q: What is Keri Wardwell's NPI number?

The NPI number for Keri Wardwell is 1104017573. It was assigned to this individual provider in the NPPES registry on August 9, 2007. The provider is also known as Keri Sharona Hyatt.

Q: What is Keri Wardwell's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Keri Wardwell was last updated on April 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since August 09, 2007PECOS EnrolledAccepts Medicare Assignment

25825 VERMONT AVE, HARBOR CITY, CA 90710(310) 517-4083 Get Directions Write a Review

NPPES record last updated: April 20, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Keri S. H. Wardwell M.d. NPPES

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

KERI S. H. WARDWELL M.D. (NPI 1104017573) is an individual family medicine provider in Harbor City, California, licensed in California (A106345) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS and is a graduate of University Of California, Davis School Of Medicine (2007).

NPPES Registry Identity

NPI1104017573

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameKERI S. H. WARDWELLCredential: M.D.

Location Address25825 VERMONT AVEHarbor City, CA 90710-3518

Mailing Address1499 W 1st StSan Pedro, CA 90732-3255 · (310) 831-9482

Phone(310) 517-4083

Sole ProprietorNo

Medical School CMSUniversity Of California, Davis School Of MedicineGraduated 2007

Enumeration DateAugust 9, 2007

Last NPPES UpdateApril 20, 2021

NPPES CertifiedApril 20, 2021

✔ NPI 1104017573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · A106345

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

25825 VERMONT AVE, Harbor City, CA 90710

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Other Names 1

Former Name (1)Keri Sharona Hyatt

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

Keri S. H. Wardwell M.d. 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 ID5890950331

PECOS Enrollment IDI20120706000250

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 Reassignment

Medicare enrollment records show Keri Wardwell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Providence Medical Institute

4.9 mi

Family Medicine

4101 TORRANCE BLVD
Torrance, CA 90503

Reassigned Medicare billing, California enrollment
266 clinicians in this Medicare group

NPI 1235182569 (310) 793-8075

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

31 services18 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

22 services14 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

21 services15 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90710 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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 20

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

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