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KELLY MARIE HEARNEY
NPI 1285072082
Student in an Organized Health Care Education/Training Program in Sacramento, CA

Active since June 13, 2013PECOS Enrolled
4610 X ST, SACRAMENTO, CA 95817(916) 816-0492 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Marie Hearney NPPES

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

KELLY MARIE HEARNEY (NPI 1285072082) is an individual student in an organized health care education/training program in Sacramento, California and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285072082
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKELLY MARIE HEARNEY
Location Address4610 X STSacramento, CA 95817-2200
Mailing Address4610 X StSacramento, CA 95817-2200 · (916) 816-0492
Phone(916) 816-0492
Sole ProprietorNo
Enumeration DateJune 13, 2013
Last NPPES UpdateDecember 17, 2021
✔ NPI 1285072082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4610 X ST, Sacramento, CA 95817
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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)

Kelly Marie Hearney 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.

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.

LESLIE OLIVARES VALENCIA
Student in an Organized Health Care Education/Training Program
4610 X ST
SACRAMENTO, CA 95817
Sacramento County (747) 253-6052
HECTOR LEONARDO SANCHEZ PEREZ MPH
Student in an Organized Health Care Education/Training Program
4610 X ST
SACRAMENTO, CA 95817
Sacramento County (760) 899-0277
TIFFANY POLAR
Student in an Organized Health Care Education/Training Program
4610 X ST
SACRAMENTO, CA 95817
Sacramento County (562) 230-9720
ALICIA CUEVAS
Student in an Organized Health Care Education/Training Program
4610 X ST
SACRAMENTO, CA 95817
Sacramento County (831) 262-7838
ALFREDO LOPEZ AGUIRRE
Student in an Organized Health Care Education/Training Program
4610 X ST
SACRAMENTO, CA 95817
Sacramento County (209) 481-1068
MR. MATTHEW JOSEPH LOPEZ MED STUDENT
Emergency Medicine
4610 X ST
SACRAMENTO, CA 95817
Sacramento County (916) 762-7911
BINUI JARVIO
Specialist
4610 X ST
SACRAMENTO, CA 95817
Sacramento County (650) 867-8073
MR. QUINCY CARL JONES
Student in an Organized Health Care Education/Training Program
4610 X ST
SACRAMENTO, CA 95817
Sacramento County (916) 816-2527

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 Hearney's NPI number?

The NPI number for Kelly Hearney is 1285072082. It was assigned to this individual provider in the NPPES registry on June 13, 2013.

Where is Kelly Hearney located?

Kelly Hearney practices at 4610 X St, Sacramento, CA 95817. The listed phone number is (916) 816-0492.

What is Kelly Hearney's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kelly Hearney enrolled in Medicare?

Yes. Kelly Hearney is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Hearney was last updated on December 17, 2021. 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.