KELLEY L SCOTT NP
NPI 1366487522
Nurse Practitioner in Fullerton, CA
About Kelley L Scott Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLEY L SCOTT NP (NPI 1366487522) is an individual nurse practitioner in Fullerton, California, licensed in California (NP11343) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kelley L Scott Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kelley Scott reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Brea, CA 92821
- Reassigned Medicare billing, California enrollment
- 1,699 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92835 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kelley Scott's NPI number?
The NPI number for Kelley Scott is 1366487522. It was assigned to this individual provider in the NPPES registry on June 19, 2006.
Where is Kelley Scott located?
Kelley Scott practices at 1835 Sunny Crest Dr, Fullerton, CA 92835. The listed phone number is (714) 446-5101.
What is Kelley Scott's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Kelley Scott enrolled in Medicare?
Yes. Kelley Scott is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kelley Scott's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelley Scott reassigns Medicare benefits to Providence Medical Foundation (Brea, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelley Scott's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kelley Scott was last updated on June 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Kelley L Scott, NP · NPI 1366487522
Nurse Practitioner physician in Fullerton, California. Individual provider, active in the CMS NPPES registry since June 19, 2006.
## Identity
- **NPI:** 1366487522 (Entity type: Individual)
- **Enumerated:** June 19, 2006
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** NP11343 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1835 SUNNY CREST DR, Fullerton, CA 92835-3616
- **Phone:** (714) 446-5101
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Providence Medical Foundation (NPI 1871607762, Brea, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 14, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1366487522) · Data from the CMS NPPES public registry.