KELLY CHRISTINE BIRK FNP-BC
NPI 1205478328
Nurse Practitioner - Family in Playa Vista, CA

Active since October 09, 2019PECOS EnrolledAccepts Medicare Assignment
85.71/100
CMS Quality Rating
12746 W JEFFERSON BLVD STE 2000, PLAYA VISTA, CA 90094(424) 315-2220(424) 315-2221 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 7, 2023, May 29, 2020, Mar 7, 2020 and 1 more (4 updates tracked since 2019).

About Kelly Christine Birk Fnp-bc NPPES

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

KELLY CHRISTINE BIRK FNP-BC (NPI 1205478328) is an individual family provider in Playa Vista, California, licensed in California (95012345) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and is a graduate of University Of California, Geffen School Of Medicine (2019).

NPPES Registry Identity

NPI1205478328
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY CHRISTINE BIRKCredential: FNP-BC
Location Address12746 W JEFFERSON BLVD STE 2000Playa Vista, CA 90094-2776
Mailing Address4140 W 190th StTorrance, CA 90504-5513
Fax(424) 315-2221
Sole ProprietorNo
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 2019
Enumeration DateOctober 9, 2019
Last NPPES UpdateJune 29, 20234 updates tracked since enumeration
NPPES CertifiedJune 29, 2023
NPI 1205478328 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 · 95012345
12746 W JEFFERSON BLVD STE 2000, Playa Vista, CA 90094

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

Kelly Christine Birk 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 ID9335577329
PECOS Enrollment IDI20200325003434
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 4

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
37 services37 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
34 services34 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
19 services16 patients
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.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90094 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.

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.

85.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.67
Promoting Interoperability100
Improvement Activities40
Cost61.47

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
12746 W JEFFERSON BLVD STE 2000
PLAYA VISTA, CA 90094
Family Medicine (Adult Medicine)
12746 W JEFFERSON BLVD STE 2000
PLAYA VISTA, CA 90094
Family Medicine
12746 W JEFFERSON BLVD STE 2000
PLAYA VISTA, CA 90094
Nurse Practitioner (Family)
12746 W JEFFERSON BLVD STE 2000
PLAYA VISTA, CA 90094
Nurse Practitioner (Family)
12746 W JEFFERSON BLVD STE 2000
PLAYA VISTA, CA 90094

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 Birk's NPI number?

The NPI number for Kelly Birk is 1205478328. It was assigned to this individual provider in the NPPES registry on October 9, 2019.

Where is Kelly Birk located?

Kelly Birk practices at 12746 W Jefferson Blvd Ste 2000, Playa Vista, CA 90094. The listed phone number is (424) 315-2220.

What is Kelly Birk's specialty?

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

Is Kelly Birk enrolled in Medicare?

Yes. Kelly Birk 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 Kelly Birk was last updated on June 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.