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KATIELEE S. PALLIS PA
NPI 1396365599
Physician Assistant in San Diego, CA

Active since April 17, 2020PECOS EnrolledAccepts Medicare Assignment
3811 VALLEY CENTRE DR, SAN DIEGO, CA 92130(858) 554-7439 Get Directions Write a Review

NPPES record last updated: June 9, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 9, 2022, Apr 17, 2020 (2 updates tracked since 2020).

About Katielee S. Pallis Pa NPPES

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

KATIELEE S. PALLIS PA (NPI 1396365599) is an individual physician assistant in San Diego, California, licensed in California (PA58794) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1396365599
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKATIELEE S. PALLISCredential: PA
Location Address3811 VALLEY CENTRE DRSan Diego, CA 92130-3318
Mailing Address10790 Rancho Bernardo RdSan Diego, CA 92127-5705 · (858) 554-7439
Phone(858) 554-7439
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 17, 2020
Last NPPES UpdateJune 9, 20222 updates tracked since enumeration
NPPES CertifiedJune 9, 2022
✔ NPI 1396365599 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 · PA58794
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3811 VALLEY CENTRE DR, San Diego, CA 92130
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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 and accepts Medicare assignment

Katielee S. Pallis Pa 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 ID5890108674
PECOS Enrollment IDI20210115002354
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 8

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 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.
131 services126 patients
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.
58 services56 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
49 services49 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
42 services42 patients
Removal of impacted ear wax by washing 69209
Impacted ear wax removal by washing, also known as ear irrigation, involves using a pressurized flow of water to break up and dislodge the ear wax. This safe procedure helps restore normal hearing and relieve discomfort caused by the blockage.
19 services19 patients
Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique 87651
This test detects Group A Streptococcus bacteria in your body. It uses an amplified probe technique, which amplifies the bacteria's nucleic acid, making it easier to identify. This test helps diagnose conditions like strep throat or scarlet fever.
16 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92130 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
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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.

ANDREW SHIN LAI MD
Internal Medicine
3811 VALLEY CENTRE DR
SAN DIEGO, CA 92130
San Diego County (858) 455-9100
DR. TODD M. HITCHCOCK M.D.
Internal Medicine (Cardiovascular Disease)
3811 VALLEY CENTRE DR
SAN DIEGO, CA 92130
San Diego County (858) 764-3110
MANDY HILLMER FNP-C, CPNP
Nurse Practitioner (Pediatrics)
3811 VALLEY CENTRE DR
SAN DIEGO, CA 92130
San Diego County (858) 764-3040
DR. RIO DION DICKENS M.D.
Internal Medicine
3811 VALLEY CENTRE DR
SAN DIEGO, CA 92130
San Diego County (858) 764-3000
DR. HOLLY E. HAUSER M.D.
Family Medicine
3811 VALLEY CENTRE DR
SAN DIEGO, CA 92130
San Diego County (858) 764-9081
MITCH BIERMANN
Internal Medicine
3811 VALLEY CENTRE DR
SAN DIEGO, CA 92130
San Diego County (858) 764-3320
DR. ILIA J.L. CHRISTY M.D.
Internal Medicine
3811 VALLEY CENTRE DR, S99
SAN DIEGO, CA 92130
San Diego County (858) 764-3000
ALISON CUSMANO FNP
Nurse Practitioner (Primary Care)
3811 VALLEY CENTRE DR
SAN DIEGO, CA 92130
San Diego County (858) 764-3100

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 Katielee Pallis's NPI number?

The NPI number for Katielee Pallis is 1396365599. It was assigned to this individual provider in the NPPES registry on April 17, 2020.

Where is Katielee Pallis located?

Katielee Pallis practices at 3811 Valley Centre Dr, San Diego, CA 92130. The listed phone number is (858) 554-7439.

What is Katielee Pallis's specialty?

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

Is Katielee Pallis enrolled in Medicare?

Yes. Katielee Pallis 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.

When was this NPI record last updated?

The NPPES record for Katielee Pallis was last updated on June 9, 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.