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KELLI GORA
NPI 1417372186
Nurse Practitioner in Big Bear Lake, CA

Active since March 04, 2014PECOS EnrolledAccepts Medicare Assignment
41870 GARSTIN RD., BIG BEAR LAKE, CA 92315(909) 878-8294 Get Directions Write a Review

NPPES record last updated: March 4, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kelli Gora NPPES

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

KELLI GORA (NPI 1417372186) is an individual nurse practitioner in Big Bear Lake, California, licensed in California (95000429) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1417372186
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKELLI GORA
Location Address41870 GARSTIN RD.Big Bear Lake, CA 92315
Mailing Address1141 La Loma DrSanta Ana, CA 92705-2902 · (714) 335-4113
Phone(909) 878-8294
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 4, 2014
✔ NPI 1417372186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95000429
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
41870 GARSTIN RD., Big Bear Lake, CA 92315
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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

Kelli Gora 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 ID6507188794
PECOS Enrollment IDI20141125000041
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 Reassignments

4

Medicare enrollment records show Kelli Gora reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Elevate Emergency Medicine
Same address
Emergency Medicine
41870 GARSTIN DR
Big Bear Lake, CA 92315
  • Reassigned Medicare billing, California enrollment
  • 25 clinicians in this Medicare group
NPI 1457118705 (858) 333-4376
Bear Valley Community Health Care District
0.1 mi
Long Term Care Pharmacy
41870 GARSTIN DRIVE
Big Bear Lake, CA 92315
  • Reassigned Medicare billing, California enrollment
  • 8 clinicians in this Medicare group
NPI 1073553756 (909) 878-8276
Big Bear Urgent Care Inc
0.2 mi
Urgent Care
41949 BIG BEAR BLVD
Big Bear Lake, CA 92315
  • Reassigned Medicare billing, California enrollment
  • 4 clinicians in this Medicare group
NPI 1366104671 (909) 878-3696
Stephen R. Shea, M.D., Inc.
81 mi
Emergency Medicine
1050 LINDEN AVE
Long Beach, CA 90813
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Stephen R Shea MD Inc
  • 50 clinicians in this Medicare group
NPI 1326079872 (562) 491-9090

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

Areas of Expertise CMS Part B claims 3

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.
15 services13 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.
13 services13 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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92315 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Kelli Gora's NPI number?

The NPI number for Kelli Gora is 1417372186. It was assigned to this individual provider in the NPPES registry on March 4, 2014.

Where is Kelli Gora located?

Kelli Gora practices at 41870 Garstin Rd., Big Bear Lake, CA 92315. The listed phone number is (909) 878-8294.

What is Kelli Gora's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kelli Gora enrolled in Medicare?

Yes. Kelli Gora 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 organizations bill Medicare for Kelli Gora's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelli Gora reassigns Medicare benefits to 4 organizations: Elevate Emergency Medicine (Big Bear Lake, CA), Bear Valley Community Health Care District (Big Bear Lake, CA), Big Bear Urgent Care Inc (Big Bear Lake, CA) and Stephen R. Shea, M.D., Inc. (Long Beach, CA). Each 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 Kelli Gora'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 Kelli Gora was last updated on March 4, 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.