KELLIE JEAN AMADOR M.S.N
NPI 1164477683
Nurse Practitioner in Modesto, CA
About Kellie Jean Amador M.s.n NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLIE JEAN AMADOR M.S.N (NPI 1164477683) is an individual nurse practitioner in Modesto, California, licensed in California (14991) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2004).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
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
Kellie Jean Amador M.s.n 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.
Medicare Billing Reassignments
5Medicare enrollment records show Kellie Amador reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Modesto, CA 95350
- Reassigned Medicare billing, California enrollment
- 2,323 clinicians in this Medicare group
Pleasanton, CA 94588
- Reassigned Medicare billing, California enrollment
- 50 clinicians in this Medicare group
Pleasanton, CA 94588
- Reassigned Medicare billing, California enrollment
- 8 clinicians in this Medicare group
Lafayette, CA 94549
- Reassigned Medicare billing, California enrollment
- 10 clinicians in this Medicare group
Berkeley, CA 94705
- Reassigned Medicare billing, California enrollment
- 241 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.
Areas of Expertise CMS Part B claims 8
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95350 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kellie Amador's NPI number?
The NPI number for Kellie Amador is 1164477683. It was assigned to this individual provider in the NPPES registry on May 23, 2006.
Where is Kellie Amador located?
Kellie Amador practices at 1441 Florida Avenue, Modesto, CA 95350. The listed phone number is (209) 578-1211.
What is Kellie Amador's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Kellie Amador enrolled in Medicare?
Yes. Kellie Amador 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 Kellie Amador's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kellie Amador reassigns Medicare benefits to 5 organizations: Cep America - California (Modesto, CA), Pleasanton Emergency Medical Group (Pleasanton, CA), Parhelion Healthcare Inc (Pleasanton, CA), Stat Med PC A California Medical Professional Corporation (Lafayette, CA) and Carbon Health Medical Group Of California PC (Berkeley, 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 Kellie Amador'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 Kellie Amador was last updated on September 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Kellie Jean Amador, M.S.N · NPI 1164477683
Nurse Practitioner physician in Modesto, California. Individual provider, active in the CMS NPPES registry since May 23, 2006.
## Identity
- **NPI:** 1164477683 (Entity type: Individual)
- **Enumerated:** May 23, 2006
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 14991 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1441 FLORIDA AVENUE, Modesto, CA 95350
- **Phone:** (209) 578-1211
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Cep America - California (NPI 1639124167, Modesto, CA); Pleasanton Emergency Medical Group (NPI 1285625509, Pleasanton, CA); Parhelion Healthcare Inc (NPI 1457025256, Pleasanton, CA); Stat Med PC A California Medical Professional Corporation (NPI 1891132106, Lafayette, CA); Carbon Health Medical Group Of California PC (NPI 1417294232, Berkeley, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** September 21, 2016
- **Other identifiers:** Medicare PIN ZZZ31584Z (CA)
---
Source: [NPI Profile](https://npiprofile.com/npi/1164477683) · Data from the CMS NPPES public registry.