Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KEVIN ERIC KELLY NP
NPI 1235464447
Nurse Practitioner - Psychiatric/Mental Health in Oakland, CA

Q: What is Kevin Kelly's NPI number?

The NPI number for Kevin Kelly is 1235464447. It was assigned to this individual provider in the NPPES registry on October 5, 2009.

Q: What is Kevin Kelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Kelly was last updated on November 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.

Active since October 05, 2009PECOS Enrolled

1451 28TH AVE, OAKLAND, CA 94601(510) 261-9191 Get Directions Write a Review

NPPES record last updated: November 2, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Kevin Eric Kelly Np NPPES

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

KEVIN ERIC KELLY NP (NPI 1235464447) is an individual psychiatric/mental health provider in Oakland, California, licensed in California (19354) and active in the NPI registry since October 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235464447

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameKEVIN ERIC KELLYCredential: NP

Location Address1451 28TH AVEOakland, CA 94601-1632

Mailing Address1451 28th AveOakland, CA 94601-1632 · (510) 261-9191 · Fax (510) 533-5630

Phone(510) 261-9191

Sole ProprietorNo

Enumeration DateOctober 5, 2009

Last NPPES UpdateNovember 2, 2026

NPPES CertifiedNovember 2, 2026

✔ NPI 1235464447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CA · 19354

Also ListedRegistered NurseTaxonomy 163W00000X · License 702879 (CA)

1451 28TH AVE, Oakland, CA 94601

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin Eric Kelly Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 94601 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

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

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.

MS. EMILEE ANN DUNLOP LMFT

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