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KAELI MODRZEJEWSKI
NPI 1235787854
Counselor - Professional in San Diego, CA

Active since August 27, 2019PECOS Enrolled
4570 MUIR AVE, SAN DIEGO, CA 92107(520) 861-4558 Get Directions Write a Review

NPPES record last updated: October 16, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Oct 16, 2023, Aug 27, 2019 (2 updates tracked since 2019).

About Kaeli Modrzejewski NPPES

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

KAELI MODRZEJEWSKI (NPI 1235787854) is an individual professional provider in San Diego, California, licensed in California (14499) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235787854
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKAELI MODRZEJEWSKI
Location Address4570 MUIR AVESan Diego, CA 92107-2319
Mailing Address4570 Muir AveSan Diego, CA 92107-2319
Phone(520) 861-4558
Sole ProprietorNo
Enumeration DateAugust 27, 2019
Last NPPES UpdateOctober 16, 20232 updates tracked since enumeration
NPPES CertifiedOctober 16, 2023
✔ NPI 1235787854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CA · 14499
4570 MUIR AVE, San Diego, CA 92107
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaeli Modrzejewski 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.

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 Kaeli Modrzejewski's NPI number?

The NPI number for Kaeli Modrzejewski is 1235787854. It was assigned to this individual provider in the NPPES registry on August 27, 2019.

Where is Kaeli Modrzejewski located?

Kaeli Modrzejewski practices at 4570 Muir Ave, San Diego, CA 92107. The listed phone number is (520) 861-4558.

What is Kaeli Modrzejewski's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kaeli Modrzejewski enrolled in Medicare?

Yes. Kaeli Modrzejewski is registered in the Medicare PECOS enrollment system.

What insurance does Kaeli Modrzejewski accept?

Health plans from Providence Health Plan list Kaeli Modrzejewski as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kaeli Modrzejewski was last updated on October 16, 2023. 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.