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MRS. AMANDA KELLY FNP
NPI 1326213554
Physician Assistant in San Francisco, CA

Active since April 29, 2008PECOS Enrolled
1700 CALIFORNIA ST, SUITE 100, SAN FRANCISCO, CA 94109(415) 386-8406(415) 386-5388 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Amanda Kelly Fnp NPPES

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

MRS. AMANDA KELLY FNP (NPI 1326213554) is an individual physician assistant in San Francisco, California, licensed in California (PA14985) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS, maintains a secondary practice location in Sausalito, and is a graduate of Stanford University School Of Medicine (1999).

NPPES Registry Identity

NPI1326213554
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. AMANDA KELLYCredential: FNP
Location Address1700 CALIFORNIA ST, SUITE 100San Francisco, CA 94109-4586
Mailing Address3 Harbor Dr Ste 111Sausalito, CA 94965-1491 · (415) 683-2988 · Fax (415) 683-2980
Phone(415) 386-8406
Fax(415) 386-5388
Sole ProprietorNo
Medical School CMSStanford University School Of MedicineGraduated 1999
Enumeration DateApril 29, 2008
Last NPPES UpdateFebruary 12, 2024
NPPES CertifiedFebruary 12, 2024
✔ NPI 1326213554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA14985
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.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 492432 (CA)
1700 CALIFORNIA ST, San Francisco, CA 94109
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Secondary Practice Location 1

Location 13 Harbor Dr Ste 111Sausalito, CA 94965-1491 · Phone (415) 683-2988 · Fax (415) 683-2980

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Amanda Kelly Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7517258890
PECOS Enrollment IDI20160616000426
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 9

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 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.
222 services151 patients
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.
221 services153 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.
108 services108 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
25 services25 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
24 services24 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94109 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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.

I. GERODIAS, M. PEREA-CORKISH, AND E. WANG, DDS, INC.
Dentist (Pediatric Dentistry)
1700 CALIFORNIA ST, SUITE 200
SAN FRANCISCO, CA 94109
San Francisco County (415) 441-7766
HAMPTON HEALTH LTD
Family Medicine (Geriatric Medicine)
1700 CALIFORNIA ST, STE. 470
SAN FRANCISCO, CA 94109
San Francisco County (415) 202-9990
DR. THERESA KEMNITZ D.O.
Internal Medicine
1700 CALIFORNIA ST, SUITE 470
SAN FRANCISCO, CA 94109
San Francisco County (415) 978-6074
LANE BARRINGER NP
Nurse Practitioner
1700 CALIFORNIA ST
SAN FRANCISCO, CA 94109
San Francisco County (469) 441-5801
DR. LAWRENCE GLEASON SHORE M.D.
Family Medicine
1700 CALIFORNIA ST, SUITE 100
SAN FRANCISCO, CA 94109
San Francisco County (415) 386-5388
GOLDEN GATE HAND THERAPY, INC.
Occupational Therapist (Hand)
1700 CALIFORNIA ST, SUITE 450
SAN FRANCISCO, CA 94109
San Francisco County (415) 359-1444
KENNETH IAN LIGHT M.D.
Specialist
1700 CALIFORNIA ST, SUITE 340
SAN FRANCISCO, CA 94109
San Francisco County (415) 673-4500
NISHA HAZARI P.A.
Physician Assistant (Medical)
1700 CALIFORNIA ST, SUITE #280
SAN FRANCISCO, CA 94109
San Francisco County (415) 820-5939

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 Amanda Kelly's NPI number?

The NPI number for Amanda Kelly is 1326213554. It was assigned to this individual provider in the NPPES registry on April 29, 2008.

Where is Amanda Kelly located?

Amanda Kelly practices at 1700 California St Suite 100, San Francisco, CA 94109. The listed phone number is (415) 386-8406.

What is Amanda Kelly's specialty?

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

Is Amanda Kelly enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Amanda Kelly was last updated on February 12, 2024. 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.