MS. KELLY TUTTLE
NPI 1255353645
Nurse Practitioner - Family in Stockton, CA

Q: What is Kelly Tuttle's NPI number?

The NPI number for Kelly Tuttle is 1255353645. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Q: What is Kelly Tuttle's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Tuttle was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 July 24, 2006PECOS Enrolled

7373 WEST LN, 2ND FLOOR, CARDIOLOGY, STOCKTON, CA 95210(209) 476-3737 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Kelly Tuttle NPPES

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

MS. KELLY TUTTLE (NPI 1255353645) is an individual family provider in Stockton, California, licensed in California (489922) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255353645

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. KELLY TUTTLE

Location Address7373 WEST LN, 2ND FLOOR, CARDIOLOGYStockton, CA 95210-3377

Mailing Address7373 West Ln, 2nd Floor, CardiologyStockton, CA 95210-3377

Phone(209) 476-3737

Sole ProprietorNo

Enumeration DateJuly 24, 2006

Last NPPES UpdateJanuary 3, 2022

✔ NPI 1255353645 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 · 489922

7373 WEST LN, Stockton, CA 95210

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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)

Ms. Kelly Tuttle 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 95210 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

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.

DR. SYLVIA FERNANDES M.D.

Physical Medicine & Rehabilitation