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KELLY ELIZABETH JERNIGAN PA-C
NPI 1417290917
Physician Assistant in Los Angeles, CA

Active since April 03, 2013PECOS Enrolled
145 S FAIRFAX AVE STE 200&300, LOS ANGELES, CA 90036(929) 384-6815(844) 440-2410 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 13, 2026, May 14, 2019, Jul 9, 2018 and 2 more (5 updates tracked since 2016).

About Kelly Elizabeth Jernigan Pa-c NPPES

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

KELLY ELIZABETH JERNIGAN PA-C (NPI 1417290917) is an individual physician assistant in Los Angeles, California, licensed in California (51310) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417290917
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLY ELIZABETH JERNIGANCredential: PA-C
Location Address145 S FAIRFAX AVE STE 200&300Los Angeles, CA 90036-2166
Mailing Address145 S Fairfax Ave Ste 200&300Los Angeles, CA 90036-2166 · (929) 384-6815 · Fax (844) 440-2410
Phone(929) 384-6815
Fax(844) 440-2410
Sole ProprietorNo
Enumeration DateApril 3, 2013
Last NPPES UpdateMay 13, 20265 updates tracked since enumeration
NPPES CertifiedMay 13, 2026
✔ NPI 1417290917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in CA · 51310✔ Licensed in NC · 0010-04024
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.
145 S FAIRFAX AVE STE 200&300, Los Angeles, CA 90036
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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)

Kelly Elizabeth Jernigan Pa-c 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 90036 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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 3

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

CHRISTINE VILLAROSA FNP-C
Nurse Practitioner (Family)
145 S FAIRFAX AVE STE 200&300
LOS ANGELES, CA 90036
Los Angeles County (909) 679-3482
SILVIANA CAPRA LMFT
Marriage & Family Therapist
145 S FAIRFAX AVE STE 200&300
LOS ANGELES, CA 90036
Los Angeles County (909) 679-3482
KBS MEDICAL CALIFORNIA PC
Pain Medicine (Interventional Pain Medicine)
145 S FAIRFAX AVE STE 200&300
LOS ANGELES, CA 90036
Los Angeles County (909) 442-4965

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 Kelly Jernigan's NPI number?

The NPI number for Kelly Jernigan is 1417290917. It was assigned to this individual provider in the NPPES registry on April 3, 2013.

Where is Kelly Jernigan located?

Kelly Jernigan practices at 145 S Fairfax Ave Ste 200&300, Los Angeles, CA 90036. The listed phone number is (929) 384-6815.

What is Kelly Jernigan's specialty?

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

Is Kelly Jernigan enrolled in Medicare?

Yes. Kelly Jernigan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Jernigan was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.