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BRIDGET KELLEHER NP
NPI 1245695006
Nurse Practitioner - Family in Venice, CA

Active since December 22, 2015PECOS Enrolled
604 ROSE AVE, VENICE, CA 90291(310) 392-8636 Get Directions Write a Review

NPPES record last updated: November 1, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 1, 2018, Dec 22, 2015 (2 updates tracked since 2015).

About Bridget Kelleher Np NPPES

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

BRIDGET KELLEHER NP (NPI 1245695006) is an individual family provider in Venice, California, licensed in California (95003447) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245695006
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBRIDGET KELLEHERCredential: NP
Location Address604 ROSE AVEVenice, CA 90291-2767
Mailing Address604 Rose AveVenice, CA 90291-2767 · (310) 392-8636 · Fax (310) 392-6642
Phone(310) 392-8636
Sole ProprietorNo
Enumeration DateDecember 22, 2015
Last NPPES UpdateNovember 1, 20182 updates tracked since enumeration
✔ NPI 1245695006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95003447
604 ROSE AVE, Venice, CA 90291
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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)

Bridget Kelleher 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 90291 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

BEVERLY ANN KARPMAN M.D.
Internal Medicine
604 ROSE AVE
VENICE, CA 90291
Los Angeles County (310) 392-8630
ALEXANDER PAPPAS MD
Family Medicine (Addiction Medicine)
604 ROSE AVE
VENICE, CA 90291
Los Angeles County (310) 392-8636
MICHAEL ALAN DONATH
Psychiatry & Neurology (Psychosomatic Medicine)
604 ROSE AVE
VENICE, CA 90291
Los Angeles County (310) 392-8636
DR. MITESH G POPAT MD
Family Medicine
604 ROSE AVE
VENICE, CA 90291
Los Angeles County (310) 392-8636
MIRIAM C PADILLA M.D.
Family Medicine
604 ROSE AVE
VENICE, CA 90291
Los Angeles County (310) 664-7600
MERRIES N. THOMPSON-MARVEL DMD
Dentist
604 ROSE AVE
VENICE, CA 90291
Los Angeles County (310) 392-8630
SUSAN MOJDEH PARTOVI M.D.
Family Medicine
604 ROSE AVE
VENICE, CA 90291
Los Angeles County (310) 392-8630
ELISABETH HELEN CEDERBLOM FNP
Nurse Practitioner (Family)
604 ROSE AVE
VENICE, CA 90291
Los Angeles County (310) 392-8636

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 Bridget Kelleher's NPI number?

The NPI number for Bridget Kelleher is 1245695006. It was assigned to this individual provider in the NPPES registry on December 22, 2015.

Where is Bridget Kelleher located?

Bridget Kelleher practices at 604 Rose Ave, Venice, CA 90291. The listed phone number is (310) 392-8636.

What is Bridget Kelleher's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Bridget Kelleher enrolled in Medicare?

Yes. Bridget Kelleher is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bridget Kelleher was last updated on November 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.