KELSEY ANN HIPPEN
NPI 1104191832
Psychologist in San Rafael, CA
About Kelsey Ann Hippen NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELSEY ANN HIPPEN (NPI 1104191832) is an individual psychologist in San Rafael, California, licensed in California (34211) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kelsey Ann Hippen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Kelsey Hippen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Francisco, CA 94102
- Reassigned Medicare billing, California enrollment
- 76 clinicians in this Medicare group
Napa, CA 94558
- Reassigned Medicare billing, California enrollment
- 755 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.
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.
SAN RAFAEL, CA 94901
SAN RAFAEL, CA 94901
SAN RAFAEL, CA 94901
SAN RAFAEL, CA 94901
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 Kelsey Hippen's NPI number?
The NPI number for Kelsey Hippen is 1104191832. It was assigned to this individual provider in the NPPES registry on March 13, 2012.
Where is Kelsey Hippen located?
Kelsey Hippen practices at 3270 Kerner Blvd, San Rafael, CA 94901. The listed phone number is (415) 473-6874.
What is Kelsey Hippen's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Kelsey Hippen enrolled in Medicare?
Yes. Kelsey Hippen is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kelsey Hippen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Hippen reassigns Medicare benefits to 2 organizations: Healthright 360 (San Francisco, CA) and Department Of State Hospitals (Napa, CA). 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 Kelsey Hippen'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 Kelsey Hippen was last updated on August 10, 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.