KELLY E. BRANCH CPNP
NPI 1245660448
Nurse Practitioner - Pediatrics in San Diego, CA
About Kelly E. Branch Cpnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY E. BRANCH CPNP (NPI 1245660448) is an individual pediatrics provider in San Diego, California, licensed in California (NP23507) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kelly E. Branch Cpnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kelly Branch reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Diego, CA 92123
- Reassigned Medicare billing, California enrollment
- 562 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92123 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SAN DIEGO, CA 92123
SAN DIEGO, CA 92123
SAN DIEGO, CA 92123
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 Branch's NPI number?
The NPI number for Kelly Branch is 1245660448. It was assigned to this individual provider in the NPPES registry on November 25, 2013. The provider is also known as Kelly Neary.
Where is Kelly Branch located?
Kelly Branch practices at 3020 Childrens Way, San Diego, CA 92123. The listed phone number is (858) 966-8030.
What is Kelly Branch's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Kelly Branch enrolled in Medicare?
Yes. Kelly Branch is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kelly Branch's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Branch reassigns Medicare benefits to Rady Children's Hospital San Diego (San Diego, CA). The 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 Branch'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 Branch was last updated on June 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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 E. Branch, CPNP · NPI 1245660448
Pediatrics physician in San Diego, California. Individual provider, active in the CMS NPPES registry since November 25, 2013.
## Identity
- **NPI:** 1245660448 (Entity type: Individual)
- **Enumerated:** November 25, 2013
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** NP23507 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3020 CHILDRENS WAY, San Diego, CA 92123-4223
- **Phone:** (858) 966-8030
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Rady Children's Hospital San Diego (NPI 1669617197, San Diego, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** June 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1245660448) · Data from the CMS NPPES public registry.