MISS KERI ANNE O'CONNOR NP
NPI 1164959433
Nurse Practitioner - Family in San Diego, CA

Active since May 17, 2017PECOS EnrolledAccepts Medicare Assignment
4510 EXECUTIVE DR, SAN DIEGO, CA 92121(858) 657-5085 Get Directions Write a Review

NPPES record last updated: July 18, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 18, 2017, May 17, 2017 (2 updates tracked since 2017).

About Miss Keri Anne O'connor Np NPPES

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

MISS KERI ANNE O'CONNOR NP (NPI 1164959433) is an individual family provider in San Diego, California, licensed in California (95005788) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1164959433
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMISS KERI ANNE O'CONNORCredential: NP
Location Address4510 EXECUTIVE DRSan Diego, CA 92121-3021
Mailing AddressPo Box 232410San Diego, CA 92193-2410 · (858) 249-6749
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 17, 2017
Last NPPES UpdateJuly 18, 20172 updates tracked since enumeration
NPI 1164959433 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
License Licensed in CA · 95005788
Also ListedRegistered NurseTaxonomy 163W00000X · License 825158 (CA)
4510 EXECUTIVE DR, San Diego, CA 92121

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Miss Keri Anne O'connor Np 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 ID9335419019
PECOS Enrollment IDI20170728000942
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 92121 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

Chiropractor
4510 EXECUTIVE DR, PLAZA 5
SAN DIEGO, CA 92121
Clinical Nurse Specialist (Acute Care)
4510 EXECUTIVE DR
SAN DIEGO, CA 92121
Registered Nurse
4510 EXECUTIVE DR
SAN DIEGO, CA 92121
Pathology (Clinical Pathology/Laboratory Medicine)
4510 EXECUTIVE DR, SUITE 2257
SAN DIEGO, CA 92121
Nurse Practitioner (Acute Care)
4510 EXECUTIVE DR
SAN DIEGO, CA 92121
Psychiatry & Neurology (Psychiatry)
4510 EXECUTIVE DR, SUITE 115
SAN DIEGO, CA 92121
Chiropractor (Sports Physician)
4510 EXECUTIVE DR, PLAZA 5
SAN DIEGO, CA 92121
Surgery (Vascular Surgery)
4510 EXECUTIVE DR
SAN DIEGO, CA 92121

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 Keri O'connor's NPI number?

The NPI number for Keri O'connor is 1164959433. It was assigned to this individual provider in the NPPES registry on May 17, 2017.

Where is Keri O'connor located?

Keri O'connor practices at 4510 Executive Dr, San Diego, CA 92121. The listed phone number is (858) 657-5085.

What is Keri O'connor's specialty?

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

Is Keri O'connor enrolled in Medicare?

Yes. Keri O'connor 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.

When was this NPI record last updated?

The NPPES record for Keri O'connor was last updated on July 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.