MRS. KELLY MAXWELL PHILLIPS WHNP-BC
NPI 1336370543
Nurse Practitioner - Women's Health in Vista, CA

Q: What is Kelly Phillips's NPI number?

The NPI number for Kelly Phillips is 1336370543. It was assigned to this individual provider in the NPPES registry on August 5, 2009.

Q: What is Kelly Phillips's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Phillips was last updated on March 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since August 05, 2009PECOS Enrolled

1000 VALE TERRACE DR, VISTA, CA 92084(760) 631-5000 Get Directions Write a Review

NPPES record last updated: March 5, 2014. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Mrs. Kelly Maxwell Phillips Whnp-bc NPPES

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

MRS. KELLY MAXWELL PHILLIPS WHNP-BC (NPI 1336370543) is an individual women's health provider in Vista, California, licensed in California (18868) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336370543

Entity TypeIndividualFemale

Primary Taxonomy363LW0102X

Provider Legal NameMRS. KELLY MAXWELL PHILLIPSCredential: WHNP-BC

Location Address1000 VALE TERRACE DRVista, CA 92084-5218

Mailing Address1000 Vale Terrace DrVista, CA 92084-5218 · (760) 631-5000

Phone(760) 631-5000

Sole ProprietorNo

Enumeration DateAugust 5, 2009

Last NPPES UpdateMarch 5, 2014

✔ NPI 1336370543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LW0102X

License✔ Licensed in CA · 18868

1000 VALE TERRACE DR, Vista, CA 92084

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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 (PECOS)

Mrs. Kelly Maxwell Phillips Whnp-bc 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92084 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

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

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 20

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

CHRISTINE DOUGHERTY LCSW

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