MRS. KELLY MICHELE CERUTTI ANP
NPI 1194192476
Nurse Practitioner - Family in Wahiawa, HI

Active since August 21, 2015Opted out of Medicare · through Apr 1, 2027
925 CALIFORNIA AVENUE, CVS MINUTECLINIC #09300, WAHIAWA, HI 96786(808) 621-7772 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Oct 17, 2017 (2 updates tracked since 2017).

About Mrs. Kelly Michele Cerutti Anp NPPES

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

MRS. KELLY MICHELE CERUTTI ANP (NPI 1194192476) is an individual family provider in Wahiawa, Hawaii, licensed in Hawaii (2300) and active in the NPI registry since August 2015. She has opted out of Medicare through April 1, 2027 and remains eligible to order and refer and maintains a secondary practice location in Haleiwa.

NPPES Registry Identity

NPI1194192476
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KELLY MICHELE CERUTTICredential: ANP
Location Address925 CALIFORNIA AVENUE, CVS MINUTECLINIC #09300Wahiawa, HI 96786
Mailing AddressCvs Minuteclinic #09300, 925 California AvenueWahiawa, GA 96786 · (808) 621-7772
Sole ProprietorNo
Enumeration DateAugust 21, 2015
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
NPI 1194192476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in HI · 2300 Licensed in AK · 104121 Licensed in AK · 22569
925 CALIFORNIA AVENUE, Wahiawa, HI 96786

Other Names 1

Former Name (1)Miss Kelly Michele Norwood

Secondary Practice Location 1

Location 166150 Kamehameha Hwy, Kaena Kai ClinicHaleiwa, HI 96712 · Phone (808) 637-8416 · Fax (888) 509-7985

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Mrs. Kelly Michele Cerutti Anp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2023 through April 1, 2027.

Opt-Out Effective DateApril 1, 2023
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96786 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
$92.50 typical visit price
range $60.53 – $180.05
Typical copayment $23.12 (range $15.13 – $45.01)
Most-billed visit code 99203
Established Patient
$105.65 typical visit price
range $20.09 – $147.56
Typical copayment $26.41 (range $5.02 – $36.89)
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.

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 Kelly Cerutti's NPI number?

The NPI number for Kelly Cerutti is 1194192476. It was assigned to this individual provider in the NPPES registry on August 21, 2015. The provider is also known as Miss Kelly Michele Norwood.

Where is Kelly Cerutti located?

Kelly Cerutti practices at 925 California Avenue CVS Minuteclinic #09300, Wahiawa, HI 96786. The listed phone number is (808) 621-7772.

What is Kelly Cerutti's specialty?

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

Is Kelly Cerutti enrolled in Medicare?

No. Kelly Cerutti has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Kelly Cerutti accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Kelly Cerutti as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Cerutti was last updated on March 17, 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.