KEELEY BRIANNA REITNOUER PA-C
NPI 1285288183
Physician Assistant in Los Angeles, CA

Active since July 29, 2019PECOS EnrolledAccepts Medicare Assignment
1520 SAN PABLO ST STE 4300, LOS ANGELES, CA 90033(323) 442-5849 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2020, Nov 12, 2019, Sep 16, 2019 and 1 more (4 updates tracked since 2019).

About Keeley Brianna Reitnouer Pa-c NPPES

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

KEELEY BRIANNA REITNOUER PA-C (NPI 1285288183) is an individual physician assistant in Los Angeles, California, licensed in California (PA56850) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1285288183
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKEELEY BRIANNA REITNOUERCredential: PA-C
Location Address1520 SAN PABLO ST STE 4300Los Angeles, CA 90033-5330
Mailing AddressPo Box 31309Los Angeles, CA 90031-0309 · (323) 442-5849
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 29, 2019
Last NPPES UpdateNovember 27, 20234 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2020
NPI 1285288183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · PA56850
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1520 SAN PABLO ST STE 4300, Los Angeles, CA 90033

Other Names 1

Former Name (1)Keeley Brianna Fernandez Pa-c

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

Keeley Brianna Reitnouer Pa-c 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 ID4486986221
PECOS Enrollment IDI20191029001951
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 90033 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
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
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.

Thoracic Surgery (Cardiothoracic Vascular Surgery)
1520 SAN PABLO ST STE 4300
LOS ANGELES, CA 90033
Physician Assistant (Surgical)
1520 SAN PABLO ST STE 4300
LOS ANGELES, CA 90033
Dietitian, Registered
1520 SAN PABLO ST STE 4300
LOS ANGELES, CA 90033
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1520 SAN PABLO ST STE 4300
LOS ANGELES, CA 90033
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1520 SAN PABLO ST STE 4300
LOS ANGELES, CA 90033
Nurse Practitioner (Acute Care)
1520 SAN PABLO ST STE 4300
LOS ANGELES, CA 90033
Surgery (Vascular Surgery)
1520 SAN PABLO ST STE 4300
LOS ANGELES, CA 90033
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1520 SAN PABLO ST STE 4300
LOS ANGELES, CA 90033

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 Keeley Reitnouer's NPI number?

The NPI number for Keeley Reitnouer is 1285288183. It was assigned to this individual provider in the NPPES registry on July 29, 2019. The provider is also known as Keeley Brianna Fernandez Pa-C.

Where is Keeley Reitnouer located?

Keeley Reitnouer practices at 1520 San Pablo St Ste 4300, Los Angeles, CA 90033. The listed phone number is (323) 442-5849.

What is Keeley Reitnouer's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Keeley Reitnouer enrolled in Medicare?

Yes. Keeley Reitnouer 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.

When was this NPI record last updated?

The NPPES record for Keeley Reitnouer was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.