KAREN TRACY COLLICA
NPI 1245673581
Nurse Practitioner in San Diego, CA

Q: What is Karen Collica's NPI number?

The NPI number for Karen Collica is 1245673581. It was assigned to this individual provider in the NPPES registry on April 16, 2013.

Q: What is Karen Collica's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Karen Collica was last updated on November 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 April 16, 2013PECOS EnrolledAccepts Medicare Assignment

3853 ROSECRANS ST, SAN DIEGO, CA 92110(619) 692-8232(619) 542-4060 Get Directions Write a Review

NPPES record last updated: November 13, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Karen Tracy Collica NPPES

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

KAREN TRACY COLLICA (NPI 1245673581) is an individual nurse practitioner in San Diego, California, licensed in California (95007559) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS and is a graduate of University Of California, San Diego School Of Medicine (2017).

NPPES Registry Identity

NPI1245673581

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKAREN TRACY COLLICA

Location Address3853 ROSECRANS STSan Diego, CA 92110-3115

Mailing Address3853 Rosecrans StSan Diego, CA 92110-3115 · (619) 692-8232 · Fax (619) 542-4060

Phone(619) 692-8232

Fax(619) 542-4060

Sole ProprietorYes

Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 2017

Enumeration DateApril 16, 2013

Last NPPES UpdateNovember 13, 2017

✔ NPI 1245673581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CA · 95007559

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered Nurse · Psychiatric/Mental Health, AdultTaxonomy 163WP0809X · License 822126 (CA)

3853 ROSECRANS ST, San Diego, CA 92110

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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

Karen Tracy Collica 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.

PECOS PAC ID143563569

PECOS Enrollment IDI20190528000746

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.

Medicare Billing Reassignments

Medicare enrollment records show Karen Collica reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pouya Afshar MD Inc

4.6 mi

Specialist

3111 CAMINO DEL RIO N STE 625
San Diego, CA 92108

Reassigned Medicare billing, California enrollment
43 clinicians in this Medicare group

NPI 1710336094 (619) 738-5566

Union Of Pan Asian Communities

5.3 mi

Community/Behavioral Health

8745 AERO DR, STE. 330
San Diego, CA 92123

Reassigned Medicare billing, California enrollment
10 clinicians in this Medicare group

NPI 1841404837 (858) 268-4933

Mellow Medical Inc A Professional Corporation

114 mi

Psychiatry

8235 SANTA MONICA BLVD, SUITE 300
West Hollywood, CA 90046

Reassigned Medicare billing, California enrollment
204 clinicians in this Medicare group

NPI 1407275886 (310) 892-4284

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 92110 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

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

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.

MR. JASON DANIEL STEIN LMFT

Marriage & Family Therapist