KELLY CHRISTINE BIRK FNP-BC
NPI 1205478328
Nurse Practitioner - Family in Playa Vista, CA
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
Specialties & Licenses
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
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.
Medicare Billing Reassignments
4Medicare enrollment records show Kelly Birk reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Los Angeles, CA 90048
- Reassigned Medicare billing, California enrollment
- 2,118 clinicians in this Medicare group
Glendale, CA 91206
- Reassigned Medicare billing, California enrollment
- 49 clinicians in this Medicare group
Laguna Beach, CA 92651
- Reassigned Medicare billing, California enrollment
- 110 clinicians in this Medicare group
Mission Viejo, CA 92691
- Reassigned Medicare billing, California enrollment
- 86 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 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.
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.
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 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PLAYA VISTA, CA 90094
PLAYA VISTA, CA 90094
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.
Which organizations bill Medicare for Kelly Birk's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Birk reassigns Medicare benefits to 4 organizations: Cedars-Sinai Medical Care Foundation (Los Angeles, CA), Glendale Adventist Emergency Physicians Incorporated (Glendale, CA), Mission Viejo Emergency Medical Associates, Inc. (Laguna Beach, CA) and Mission Viejo Emergency Medical Associates (Mission Viejo, 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 Kelly Birk'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 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.
# Kelly Christine Birk, FNP-BC · NPI 1205478328
Family physician in Playa Vista, California. Individual provider, active in the CMS NPPES registry since October 9, 2019.
## Identity
- **NPI:** 1205478328 (Entity type: Individual)
- **Enumerated:** October 9, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95012345 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 12746 W JEFFERSON BLVD STE 2000, Playa Vista, CA 90094-2776
- **Phone:** (424) 315-2220 · **Fax:** (424) 315-2221
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Cedars-Sinai Medical Care Foundation (NPI 1316984388, Los Angeles, CA); Glendale Adventist Emergency Physicians Incorporated (NPI 1679907869, Glendale, CA); Mission Viejo Emergency Medical Associates, Inc. (NPI 1134355597, Laguna Beach, CA); Mission Viejo Emergency Medical Associates (NPI 1073542916, Mission Viejo, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California, Geffen School Of Medicine, class of 2019
## Record status
- **NPPES last updated:** June 29, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1205478328) · Data from the CMS NPPES public registry.