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MRS. KRISTEN TYSELL GHOUSSAINI PNP
NPI 1104068444
Nurse Practitioner - Pediatrics in Oakland, CA

Active since April 01, 2009PECOS Enrolled
747 52ND ST, OAKLAND, CA 94609(510) 428-3319 Get Directions Write a Review

NPPES record last updated: July 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Kristen Tysell Ghoussaini Pnp NPPES

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

MRS. KRISTEN TYSELL GHOUSSAINI PNP (NPI 1104068444) is an individual pediatrics provider in Oakland, California, licensed in California (21230) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in Oakland.

NPPES Registry Identity

NPI1104068444
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMRS. KRISTEN TYSELL GHOUSSAINICredential: PNP
Location Address747 52ND STOakland, CA 94609-1809
Mailing Address744 52nd St, Suite 5203Oakland, CA 94609-1810 · (510) 428-3319 · Fax (510) 597-7034
Phone(510) 428-3319
Sole ProprietorYes
Enumeration DateApril 1, 2009
Last NPPES UpdateJuly 25, 2025
NPPES CertifiedJuly 25, 2025
✔ NPI 1104068444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses✔ Licensed in CA · 21230✔ Licensed in NY · 382047
747 52ND ST, Oakland, CA 94609
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Secondary Practice Location 1

Location 1744 52nd St, SUITE 5203Oakland, CA 94609-1810 · Phone (510) 428-3319 · Fax (510) 597-7034

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kristen Tysell Ghoussaini Pnp 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 94609 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 20

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

MRS. SHERYL LEE GARCIA RN
Registered Nurse (Pediatrics)
747 52ND ST
OAKLAND, CA 94609
Alameda County (510) 428-3885
ERICA TRINGALE N.P,
Nurse Practitioner (Pediatrics)
747 52ND ST
OAKLAND, CA 94609
Alameda County (510) 428-3373
MRS. NATALIE PLOTKIN MS, ACPNP
Pediatrics (Pediatric Hematology-Oncology)
747 52ND ST
OAKLAND, CA 94609
Alameda County (510) 428-3484
REBECCA ROMANOV MD
Pediatrics
747 52ND ST
OAKLAND, CA 94609
Alameda County (510) 428-3331
SHELLEY ANNE BULL CPNP-PC
Nurse Practitioner (Pediatrics)
747 52ND ST
OAKLAND, CA 94609
Alameda County (510) 428-3885
KARIDA ADETORO
Student in an Organized Health Care Education/Training Program
747 52ND ST
OAKLAND, CA 94609
Alameda County (510) 428-3885
ANNIE ROQUE
Nurse Practitioner (Pediatrics)
747 52ND ST
OAKLAND, CA 94609
Alameda County (510) 428-4418
CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND
General Acute Care Hospital
747 52ND ST
OAKLAND, CA 94609
Alameda County (510) 428-3885

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 Kristen Ghoussaini's NPI number?

The NPI number for Kristen Ghoussaini is 1104068444. It was assigned to this individual provider in the NPPES registry on April 1, 2009.

Where is Kristen Ghoussaini located?

Kristen Ghoussaini practices at 747 52nd St, Oakland, CA 94609. The listed phone number is (510) 428-3319.

What is Kristen Ghoussaini's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Kristen Ghoussaini enrolled in Medicare?

Yes. Kristen Ghoussaini is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kristen Ghoussaini was last updated on July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.