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KELLEY SUZANNE STEWART FNP
NPI 1376947622
Registered Nurse in Berkeley, CA

Active since October 15, 2014PECOS EnrolledAccepts Medicare Assignment
2031 6TH ST, BERKELEY, CA 94710(510) 981-4100 Get Directions Write a Review

NPPES record last updated: October 15, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kelley Suzanne Stewart Fnp NPPES

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

KELLEY SUZANNE STEWART FNP (NPI 1376947622) is an individual registered nurse in Berkeley, California, licensed in California (752908) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1376947622
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameKELLEY SUZANNE STEWARTCredential: FNP
Location Address2031 6TH STBerkeley, CA 94710-2006
Mailing Address837 Addison StreetBerkeley, CA 94710
Phone(510) 981-4100
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateOctober 15, 2014
✔ NPI 1376947622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License✔ Licensed in CA · 752908
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
2031 6TH ST, Berkeley, CA 94710
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelley Suzanne Stewart Fnp 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 ID2961763347
PECOS Enrollment IDI20180227002000
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.

Medicare Billing Reassignment

Medicare enrollment records show Kelley Stewart reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lifelong Medical Care
1.7 mi
Geriatric Medicine
3260 SACRAMENTO ST
Berkeley, CA 94702
  • Reassigned Medicare billing, California enrollment
  • 241 clinicians in this Medicare group
NPI 1689670002 (510) 428-4500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
1 supplier17 claims1,275 services$0.03 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 18

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

MR. SHARAD KUMAR KOHLI M.D.
Family Medicine
2031 6TH ST, WEST BERKELEY FAMILY PRACTICE
BERKELEY, CA 94710
Alameda County (510) 981-4234
MS. ERICA YOSHIE DIAMANT FNP
Nurse Practitioner (Family)
2031 6TH ST
BERKELEY, CA 94710
Alameda County (510) 813-1181
BETH RAKOWER NP
Nurse Practitioner (Family)
2031 6TH ST
BERKELEY, CA 94710
Alameda County (510) 981-4243
ANTOINETTE LOPEZ MD
Family Medicine
2031 6TH ST
BERKELEY, CA 94710
Alameda County (510) 981-4100
TRACY LYNETTE WHITE M.D.
Family Medicine
2031 6TH ST
BERKELEY, CA 94710
Alameda County (510) 981-4100
MS. KATIE LEWIS L.AC.
Acupuncturist
2031 6TH ST
BERKELEY, CA 94710
Alameda County (510) 981-4100
TOBY FURASH N.M.W.
Advanced Practice Midwife
2031 6TH ST
BERKELEY, CA 94710
Alameda County (510) 981-4200
RAFAEL PENA
Registered Nurse
2031 6TH ST
BERKELEY, CA 94710
Alameda County (510) 981-4200

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 Stewart's NPI number?

The NPI number for Kelley Stewart is 1376947622. It was assigned to this individual provider in the NPPES registry on October 15, 2014.

Where is Kelley Stewart located?

Kelley Stewart practices at 2031 6th St, Berkeley, CA 94710. The listed phone number is (510) 981-4100.

What is Kelley Stewart's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Is Kelley Stewart enrolled in Medicare?

Yes. Kelley Stewart 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.

Which organization bills Medicare for Kelley Stewart's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelley Stewart reassigns Medicare benefits to Lifelong Medical Care (Berkeley, 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 Stewart'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 Stewart was last updated on October 15, 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.