CORTNEY KECKLEY FNP-BC
NPI 1194363770
Nurse Practitioner - Family in La Jolla, CA

Active since December 14, 2019PECOS EnrolledAccepts Medicare Assignment
81.87/100
CMS Quality Rating
8831 VILLA LA JOLLA DR, LA JOLLA, CA 92037(858) 457-4480 Get Directions Write a Review

NPPES record last updated: November 9, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 9, 2021, Dec 14, 2019 (2 updates tracked since 2019).

About Cortney Keckley Fnp-bc NPPES

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

CORTNEY KECKLEY FNP-BC (NPI 1194363770) is an individual family provider in La Jolla, California, licensed in California (95013356) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Diego, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1194363770
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCORTNEY KECKLEYCredential: FNP-BC
Location Address8831 VILLA LA JOLLA DRLa Jolla, CA 92037-1949
Mailing Address1792 Garnet AveSan Diego, CA 92109-3350 · (858) 457-4480
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 14, 2019
Last NPPES UpdateNovember 9, 20212 updates tracked since enumeration
NPPES CertifiedNovember 9, 2021
NPI 1194363770 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
License Licensed in CA · 95013356
8831 VILLA LA JOLLA DR, La Jolla, CA 92037

Secondary Practice Location 1

Location 11792 Garnet AveSan Diego, CA 92109-3350 · Phone (858) 483-1489 ext. 8221

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

Cortney Keckley Fnp-bc 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 ID5799111852
PECOS Enrollment IDI20200207002422
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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
20 services18 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
16 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92037 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.

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.

81.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.57
Improvement Activities40
Cost91.69

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.

Technician/Technologist (Optician)
8831 VILLA LA JOLLA DR
LA JOLLA, CA 92037
Nurse Practitioner (Family)
8831 VILLA LA JOLLA DR
LA JOLLA, CA 92037
Pharmacist
8831 VILLA LA JOLLA DR
LA JOLLA, CA 92037
Pharmacist
8831 VILLA LA JOLLA DR
LA JOLLA, CA 92037
Pharmacist
8831 VILLA LA JOLLA DR
LA JOLLA, CA 92037
Nurse Practitioner (Family)
8831 VILLA LA JOLLA DR
LA JOLLA, CA 92037
Pharmacist
8831 VILLA LA JOLLA DR
LA JOLLA, CA 92037
Pharmacy
8831 VILLA LA JOLLA DR
LA JOLLA, CA 92037

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 Cortney Keckley's NPI number?

The NPI number for Cortney Keckley is 1194363770. It was assigned to this individual provider in the NPPES registry on December 14, 2019.

Where is Cortney Keckley located?

Cortney Keckley practices at 8831 Villa La Jolla Dr, La Jolla, CA 92037. The listed phone number is (858) 457-4480.

What is Cortney Keckley's specialty?

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

Is Cortney Keckley enrolled in Medicare?

Yes. Cortney Keckley 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 Cortney Keckley was last updated on November 9, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.