KELSI NUTTER DPM
NPI 1295295210
Podiatrist - Foot & Ankle Surgery in Irwindale, CA

Active since March 25, 2019PECOS EnrolledAccepts Medicare Assignment
12761 SCHABARUM AVE, IRWINDALE, CA 91706(626) 480-4500 Get Directions Write a Review

NPPES record last updated: August 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 18, 2022, Aug 5, 2022 (2 updates tracked since 2022).

About Kelsi Nutter Dpm NPPES

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

KELSI NUTTER DPM (NPI 1295295210) is an individual foot & ankle surgery provider in Irwindale, California, licensed in California (5830) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Diego, and is a graduate of Kent State University College Of Podiatric Medicine (2019).

NPPES Registry Identity

NPI1295295210
Entity TypeIndividualFemale
Primary Taxonomy213ES0103X
Provider Legal NameKELSI NUTTERCredential: DPM
Location Address12761 SCHABARUM AVEIrwindale, CA 91706-6807
Mailing Address20306 New Rochelle StWalnut, CA 91789-1217
Sole ProprietorNo
Medical School CMSKent State University College Of Podiatric MedicineGraduated 2019
Enumeration DateMarch 25, 2019
Last NPPES UpdateAugust 18, 20222 updates tracked since enumeration
NPPES CertifiedAugust 18, 2022
NPI 1295295210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in CA · 5830
12761 SCHABARUM AVE, Irwindale, CA 91706

Secondary Practice Location 1

Location 14077 Fifth AveSan Diego, CA 92103-2105 · Phone (440) 655-0202

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

Kelsi Nutter Dpm 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 ID42695959
PECOS Enrollment IDI20220913003192
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 3

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

Ophthalmology
12761 SCHABARUM AVE
IRWINDALE, CA 91706
Physician Assistant
12761 SCHABARUM AVE
IRWINDALE, CA 91706
Pharmacy (Institutional Pharmacy)
12761 SCHABARUM AVE, GROUND LEVEL RM G315
IRWINDALE, CA 91706

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 Kelsi Nutter's NPI number?

The NPI number for Kelsi Nutter is 1295295210. It was assigned to this individual provider in the NPPES registry on March 25, 2019.

Where is Kelsi Nutter located?

Kelsi Nutter practices at 12761 Schabarum Ave, Irwindale, CA 91706. The listed phone number is (626) 480-4500.

What is Kelsi Nutter's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Kelsi Nutter enrolled in Medicare?

Yes. Kelsi Nutter 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 Kelsi Nutter was last updated on August 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.