KELLY PATACA
NPI 1285235713
Nurse Practitioner - Family in Fresno, CA

Q: What is Kelly Pataca's NPI number?

The NPI number for Kelly Pataca is 1285235713. It was assigned to this individual provider in the NPPES registry on November 2, 2020.

Q: What is Kelly Pataca'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 Pataca was last updated on November 2, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 02, 2020PECOS EnrolledAccepts Medicare Assignment

6095 N 1ST ST, FRESNO, CA 93710(559) 446-1515 Get Directions Write a Review

NPPES record last updated: November 2, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Kelly Pataca NPPES

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

KELLY PATACA (NPI 1285235713) is an individual family provider in Fresno, California, licensed in California (95015791) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1285235713

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKELLY PATACA

Location Address6095 N 1ST STFresno, CA 93710-5444

Mailing Address1691 The AlamedaSan Jose, CA 95126-2203 · (408) 287-7526

Phone(559) 446-1515

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateNovember 2, 2020

NPPES CertifiedNovember 2, 2020

✔ NPI 1285235713 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 · 95015791

6095 N 1ST ST, Fresno, CA 93710

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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 and accepts Medicare assignment

Kelly Pataca 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 ID4688086283

PECOS Enrollment IDI20201223000264

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 93710 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 17

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

YENESIS DELACRUZ

Registered Nurse