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DR. ANNA KATHRYN VAN NIEKERK DO
NPI 1265820112
Family Medicine in San Diego, CA

Active since December 30, 2014PECOS EnrolledAccepts Medicare Assignment
76.2/100
CMS Quality Rating
4510 EXECUTIVE DR STE 215, SAN DIEGO, CA 92121(800) 926-8273(888) 539-8781 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 2, 2026, Jan 6, 2026, Jul 19, 2023 and 4 more (7 updates tracked since 2018).

About Dr. Anna Kathryn Van Niekerk Do NPPES

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

DR. ANNA KATHRYN VAN NIEKERK DO (NPI 1265820112) is an individual family medicine provider in San Diego, California, licensed in California (20A15206) and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS, is affiliated with Mayo Clinic, and maintains 7 additional practice locations.

NPPES Registry Identity

NPI1265820112
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ANNA KATHRYN VAN NIEKERKCredential: DO
Location Address4510 EXECUTIVE DR STE 215San Diego, CA 92121-3023
Mailing AddressFile 57326Los Angeles, CA 90074-7326
Phone(800) 926-8273
Fax(888) 539-8781
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateDecember 30, 2014
Last NPPES UpdateApril 2, 20267 updates tracked since enumeration
NPPES CertifiedApril 2, 2026
✔ NPI 1265820112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 20A15206
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4510 EXECUTIVE DR STE 215, San Diego, CA 92121
Open in Google Maps ↗

Other Names 1

Former Name (1)Anna K. Kubli

Secondary Practice Locations 7

Location 1203 W F StSan Diego, CA 92101-6016 · Phone (800) 926-8273 · Fax (888) 539-8781
Location 22131 3rd Ave Ste 100San Diego, CA 92101-2084 · Phone (800) 926-8273 · Fax (888) 539-8781
Location 3910 Sycamore Ave Ste 270Vista, CA 92081-7852 · Phone (800) 926-8273 · Fax (888) 539-8781
Location 416950 Via TazonSan Diego, CA 92127-1607 · Phone (800) 926-8273 · Fax (888) 539-8781
Location 56030 Village Way Ste 200San Diego, CA 92130-2973 · Phone (800) 926-8273 · Fax (888) 539-8781
Location 61505 Encinitas BlvdEncinitas, CA 92024-2933 · Phone (800) 926-8273 · Fax (888) 539-8781
Location 72295 Otay Lakes Rd Ste 110Chula Vista, CA 91915-1160 · Phone (800) 926-8273 · Fax (888) 539-8781

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Anna Kathryn Van Niekerk Do 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 ID9638420136
PECOS Enrollment IDI20180921002816, I20230731000249
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
139 services131 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
135 services113 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
63 services63 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
60 services60 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
34 services34 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mayo Clinic

Acute Care Hospitals · Jacksonville, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100151
Location4500 San Pablo RdJacksonville, FL 32224 · Duval County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92121 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.2/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.33
Promoting Interoperability100
Improvement Activities40
Cost51.32

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAYLOR BUCHANAN JACKSON FNP
Nurse Practitioner
4510 EXECUTIVE DR STE 215
SAN DIEGO, CA 92121
San Diego County (858) 657-6624
DR. JANG HWAN BAE D.O.
Family Medicine
4510 EXECUTIVE DR STE 215
SAN DIEGO, CA 92121
San Diego County (800) 926-8273
DR. MARINA UDOWENKO D. O.
Family Medicine
4510 EXECUTIVE DR STE 215
SAN DIEGO, CA 92121
San Diego County (800) 926-8273

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 Anna Van Niekerk's NPI number?

The NPI number for Anna Van Niekerk is 1265820112. It was assigned to this individual provider in the NPPES registry on December 30, 2014. The provider is also known as Anna K. Kubli.

Where is Anna Van Niekerk located?

Anna Van Niekerk practices at 4510 Executive Dr Ste 215, San Diego, CA 92121. The listed phone number is (800) 926-8273.

What is Anna Van Niekerk's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Anna Van Niekerk enrolled in Medicare?

Yes. Anna Van Niekerk is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Anna Van Niekerk accept?

Health plans from Florida Blue (BlueCross BlueShield FL) list Anna Van Niekerk 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.

Is Anna Van Niekerk affiliated with any hospitals?

According to CMS data, Anna Van Niekerk is affiliated with Mayo Clinic.

When was this NPI record last updated?

The NPPES record for Anna Van Niekerk was last updated on April 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.