MRS. KATHLEEN M. NELSON PA-C
NPI 1326229162
Physician Assistant in Moorpark, CA

Active since November 20, 2007PECOS Enrolled
84.56/100
CMS Quality Rating
14711 PRINCETON AVE, SUITE 2, MOORPARK, CA 93021(805) 532-2032(805) 532-2844 Get Directions Write a Review

NPPES record last updated: June 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Kathleen M. Nelson Pa-c NPPES

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

MRS. KATHLEEN M. NELSON PA-C (NPI 1326229162) is an individual physician assistant in Moorpark, California, licensed in California (13766) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Ventura.

NPPES Registry Identity

NPI1326229162
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. KATHLEEN M. NELSONCredential: PA-C
Location Address14711 PRINCETON AVE, SUITE 2Moorpark, CA 93021-1457
Mailing Address14711 Princeton Ave, Suite 2Moorpark, CA 93021-1457 · (805) 532-2032 · Fax (805) 532-2844
Fax(805) 532-2844
Sole ProprietorNo
Enumeration DateNovember 20, 2007
Last NPPES UpdateJune 15, 2023
NPPES CertifiedJune 15, 2023
NPI 1326229162 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 · 13766
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.
14711 PRINCETON AVE, Moorpark, CA 93021

Secondary Practice Location 1

Location 13525 Loma Vista RdVentura, CA 93003-3100 · Phone (805) 641-6415

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. Kathleen M. Nelson Pa-c 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.

Areas of Expertise CMS Part B claims 2

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
21 services21 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93021 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
$95.28 typical visit price
range $62.32 – $185.36
Typical copayment $23.82 (range $15.58 – $46.34)
Most-billed visit code 99203
Established Patient
$77.11 typical visit price
range $20.68 – $151.85
Typical copayment $19.27 (range $5.17 – $37.96)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.71
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

Family Medicine
14711 PRINCETON AVE, SUITE 2
MOORPARK, CA 93021
Dentist
14711 PRINCETON AVE, #2
MOORPARK, CA 93021
Dentist (General Practice)
14711 PRINCETON AVE, 12
MOORPARK, CA 93021
Dentist
14711 PRINCETON AVE, UNIT-12
MOORPARK, CA 93021

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 Kathleen Nelson's NPI number?

The NPI number for Kathleen Nelson is 1326229162. It was assigned to this individual provider in the NPPES registry on November 20, 2007.

Where is Kathleen Nelson located?

Kathleen Nelson practices at 14711 Princeton Ave Suite 2, Moorpark, CA 93021. The listed phone number is (805) 532-2032.

What is Kathleen Nelson's specialty?

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

Is Kathleen Nelson enrolled in Medicare?

Yes. Kathleen Nelson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kathleen Nelson was last updated on June 15, 2023. 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.