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KELLEN GRACE DUNN
NPI 1407654767
Physician Assistant in San Rafael, CA

Active since March 04, 2025PECOS Enrolled
16 RITTER ST, SAN RAFAEL, CA 94901(415) 457-8182 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 6, 2025, Mar 4, 2025 (2 updates tracked since 2025).

About Kellen Grace Dunn NPPES

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

KELLEN GRACE DUNN (NPI 1407654767) is an individual physician assistant in San Rafael, California, licensed in California (PA66227) and active in the NPI registry since March 2025. The provider is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1407654767
Entity TypeIndividual
Primary Taxonomy363A00000X
Provider Legal NameKELLEN GRACE DUNN
Location Address16 RITTER STSan Rafael, CA 94901-3323
Mailing Address16 Ritter StSan Rafael, CA 94901-3323 · (415) 457-8182
Phone(415) 457-8182
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 4, 2025
Last NPPES UpdateAugust 6, 20252 updates tracked since enumeration
NPPES CertifiedAugust 6, 2025
✔ NPI 1407654767 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 · PA66227
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.
16 RITTER ST, San Rafael, CA 94901
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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)

Kellen Grace Dunn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5890293690
PECOS Enrollment IDI20250811003633
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 94901 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
$104.67 typical visit price
range $69.07 – $202.63
Typical copayment $26.16 (range $17.26 – $50.65)
Most-billed visit code 99203
Established Patient
$85.00 typical visit price
range $23.44 – $166.64
Typical copayment $21.25 (range $5.86 – $41.66)
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 18

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

CARMEN LILY CARROUCHE RN, CNS, PMH-NP
Nurse Practitioner (Psychiatric/Mental Health)
16 RITTER ST
SAN RAFAEL, CA 94901
Marin County (415) 457-8182
MISS BRIANNA DOYLE RADT
Counselor (Addiction (Substance Use Disorder))
16 RITTER ST
SAN RAFAEL, CA 94901
Marin County (415) 457-8182
RORY RICHARD RIEGER CADC-II
Counselor (Professional)
16 RITTER ST
SAN RAFAEL, CA 94901
Marin County (415) 457-8182
KATHERINE SOLOVIEFF MARTIN CADC
Counselor (Addiction (Substance Use Disorder))
16 RITTER ST
SAN RAFAEL, CA 94901
Marin County (415) 457-8182
MRS. MARYANNE T BATTAGLINO
Case Manager/Care Coordinator
16 RITTER ST
SAN RAFAEL, CA 94901
Marin County (415) 457-8182
RITTER CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
16 RITTER ST
SAN RAFAEL, CA 94901
Marin County (415) 457-8182
ERICA SUTHERLAND RN FNP
Registered Nurse (Case Management)
16 RITTER ST
SAN RAFAEL, CA 94901
Marin County (415) 235-0452
MS. NICOLETTE CHRISTINE GOTTUSO
Counselor (Addiction (Substance Use Disorder))
16 RITTER ST
SAN RAFAEL, CA 94901
Marin County (650) 815-5391

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 Kellen Dunn's NPI number?

The NPI number for Kellen Dunn is 1407654767. It was assigned to this individual provider in the NPPES registry on March 4, 2025.

Where is Kellen Dunn located?

Kellen Dunn practices at 16 Ritter St, San Rafael, CA 94901. The listed phone number is (415) 457-8182.

What is Kellen Dunn's specialty?

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

Is Kellen Dunn enrolled in Medicare?

Yes. Kellen Dunn is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kellen Dunn was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.