KELSEY LYNN KLOBERDANZ RN, MSN, PMHNP-BC
NPI 1235672502
Nurse Practitioner - Psychiatric/Mental Health in Santa Cruz, CA

Q: What is Kelsey Kloberdanz's NPI number?

The NPI number for Kelsey Kloberdanz is 1235672502. It was assigned to this individual provider in the NPPES registry on November 18, 2016.

Q: What is Kelsey Kloberdanz'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 Kelsey Kloberdanz was last updated on June 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since November 18, 2016PECOS Enrolled

1400 EMELINE AVE, SANTA CRUZ, CA 95060(831) 454-4170 Get Directions Write a Review

NPPES record last updated: June 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 3, 2024, Mar 1, 2017, Nov 18, 2016 (3 updates tracked since 2016).

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About Kelsey Lynn Kloberdanz Rn, Msn, Pmhnp-bc NPPES

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

KELSEY LYNN KLOBERDANZ RN, MSN, PMHNP-BC (NPI 1235672502) is an individual psychiatric/mental health provider in Santa Cruz, California, licensed in California (95005293) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235672502

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameKELSEY LYNN KLOBERDANZCredential: RN, MSN, PMHNP-BC

Location Address1400 EMELINE AVESanta Cruz, CA 95060-1976

Mailing Address1400 Emeline AveSanta Cruz, CA 95060-1976 · (831) 454-4170

Phone(831) 454-4170

Sole ProprietorNo

Enumeration DateNovember 18, 2016

Last NPPES UpdateJune 3, 20243 updates tracked since enumeration

NPPES CertifiedJune 3, 2024

✔ NPI 1235672502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LP0808X

License✔ Licensed in CA · 95005293

1400 EMELINE AVE, Santa Cruz, CA 95060

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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)

Kelsey Lynn Kloberdanz Rn, Msn, Pmhnp-bc 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 95060 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

$96.03 typical visit price

range $62.97 – $186.69

Typical copayment $24.00 (range $15.74 – $46.67)

Most-billed visit code 99203

Established Patient

$109.72 typical visit price

range $21.02 – $153.16

Typical copayment $27.43 (range $5.25 – $38.29)

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.

ESMERALDA ALFARO

Technician, Health Information (Assistant Record Technician)