MS. PATRICIA A KELLY NMD, FNP-BC, GNPC-BC
NPI 1164435582
Nurse Practitioner - Family in Long Beach, CA

Active since August 15, 2006PECOS Enrolled
200 OCEANGATE STE 100, LONG BEACH, CA 90802(888) 562-5442(562) 528-5595 Get Directions Write a Review

NPPES record last updated: January 10, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 10, 2018, Jun 22, 2016 (2 updates tracked since 2016).

About Ms. Patricia A Kelly Nmd, Fnp-bc, Gnpc-bc NPPES

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

MS. PATRICIA A KELLY NMD, FNP-BC, GNPC-BC (NPI 1164435582) is an individual family provider in Long Beach, California, licensed in Ohio (APRN.CNP.04543) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164435582
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. PATRICIA A KELLYCredential: NMD, FNP-BC, GNPC-BC
Location Address200 OCEANGATE STE 100Long Beach, CA 90802-4317
Mailing Address3000 Corporate Exchange DrColumbus, OH 43231-7689 · (888) 528-5595 · Fax (562) 528-5595
Fax(562) 528-5595
Sole ProprietorNo
Enumeration DateAugust 15, 2006
Last NPPES UpdateJanuary 10, 20182 updates tracked since enumeration
NPI 1164435582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in OH · APRN.CNP.04543 Licensed in IN · 71000324A
Also ListedNurse PractitionerTaxonomy 363L00000X · License NP04543 (OH)
200 OCEANGATE STE 100, Long Beach, CA 90802

Other Identifiers 3

Other000000577056OH · Anthem
Other421534506126OH · Caresource
Medicaid2271741OH

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ms. Patricia A Kelly Nmd, Fnp-bc, Gnpc-bc 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 90802 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.

Family Medicine
200 OCEANGATE STE 100
LONG BEACH, CA 90802
Nurse Practitioner (Family)
200 OCEANGATE STE 100
LONG BEACH, CA 90802
Nurse Practitioner (Family)
200 OCEANGATE STE 100
LONG BEACH, CA 90802
Nurse Practitioner (Family)
200 OCEANGATE STE 100
LONG BEACH, CA 90802
Social Worker (Clinical)
200 OCEANGATE STE 100
LONG BEACH, CA 90802
Nurse Practitioner (Family)
200 OCEANGATE STE 100
LONG BEACH, CA 90802
Nurse Practitioner (Psychiatric/Mental Health)
200 OCEANGATE STE 100
LONG BEACH, CA 90802
Nurse Practitioner (Psychiatric/Mental Health)
200 OCEANGATE STE 100
LONG BEACH, CA 90802

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 Patricia Kelly's NPI number?

The NPI number for Patricia Kelly is 1164435582. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Where is Patricia Kelly located?

Patricia Kelly practices at 200 Oceangate Ste 100, Long Beach, CA 90802. The listed phone number is (888) 562-5442.

What is Patricia Kelly's specialty?

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

Is Patricia Kelly enrolled in Medicare?

Yes. Patricia Kelly is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Patricia Kelly was last updated on January 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.