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KEYSHONE D PIRTLE APRN-CNP
NPI 1417567827
Nurse Practitioner - Family in El Cajon, CA

Active since August 01, 2020PECOS EnrolledAccepts Medicare Assignment
4921 DEHESA RD, EL CAJON, CA 92019(619) 445-0707(619) 445-0901 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 3, 2026, Apr 11, 2023, Aug 1, 2020 (3 updates tracked since 2020).

About Keyshone D Pirtle Aprn-cnp NPPES

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

KEYSHONE D PIRTLE APRN-CNP (NPI 1417567827) is an individual family provider in El Cajon, California, licensed in Nevada (833097) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1417567827
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameKEYSHONE D PIRTLECredential: APRN-CNP
Location Address4921 DEHESA RDEl Cajon, CA 92019-2929
Mailing Address10065 Oak Creek Canyon AveLas Vegas, NV 89147-8054 · (702) 581-4711
Phone(619) 445-0707
Fax(619) 445-0901
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 1, 2020
Last NPPES UpdateFebruary 3, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2026
✔ NPI 1417567827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NV · 833097
4921 DEHESA RD, El Cajon, CA 92019
Open in Google Maps ↗

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

Keyshone D Pirtle Aprn-cnp 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 ID9537579966
PECOS Enrollment IDI20210324001762
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

2

Medicare enrollment records show Keyshone Pirtle reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sycuan Tribal Government
Same address
Clinic/Center
4921 DEHESA RD
El Cajon, CA 92019
  • Reassigned Medicare billing, California enrollment
  • 7 clinicians in this Medicare group
NPI 1427197078 (619) 445-0707
Brenton D. Wynn, MD Inc
16 mi
Pain Medicine
502 EUCLID AVE STE 200
National City, CA 91950
  • Reassigned Medicare billing, California enrollment
  • 11 clinicians in this Medicare group
NPI 1598953960 (619) 434-4019

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92019 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
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

Other Providers at the Same Location NPPES 9

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

WENDY M ALVA CPNP, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
4921 DEHESA RD
EL CAJON, CA 92019
San Diego County (619) 445-0707
SYCUAN TRIBAL GOVERNMENT
Ambulance (Land Transport)
4921 DEHESA RD
EL CAJON, CA 92019
San Diego County (619) 445-0707
SYCUAN TRIBAL GOVERNMENT
Pharmacy (Community/Retail Pharmacy)
4921 DEHESA RD
EL CAJON, CA 92019
San Diego County (619) 445-0707
SYCUAN TRIBAL GOVERNMENT
Clinic/Center
4921 DEHESA RD
EL CAJON, CA 92019
San Diego County (619) 445-0707
YEMISRACH A. BEYENE M.D.
Family Medicine
4921 DEHESA RD
EL CAJON, CA 92019
San Diego County (619) 445-0707
DR. RANDALL T TANAKA DDS
Dentist
4921 DEHESA RD
EL CAJON, CA 92019
San Diego County (619) 445-0707
DR. LISA LAM D.M.D.
Dentist
4921 DEHESA RD
EL CAJON, CA 92019
San Diego County (323) 799-0831
ARJUN N REDDY MD
Internal Medicine
4921 DEHESA RD
EL CAJON, CA 92019
San Diego County (619) 445-0707

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 Keyshone Pirtle's NPI number?

The NPI number for Keyshone Pirtle is 1417567827. It was assigned to this individual provider in the NPPES registry on August 1, 2020.

Where is Keyshone Pirtle located?

Keyshone Pirtle practices at 4921 Dehesa Rd, El Cajon, CA 92019. The listed phone number is (619) 445-0707.

What is Keyshone Pirtle's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Keyshone Pirtle enrolled in Medicare?

Yes. Keyshone Pirtle 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 Keyshone Pirtle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keyshone Pirtle reassigns Medicare benefits to 2 organizations: Sycuan Tribal Government (El Cajon, CA) and Brenton D. Wynn, MD Inc (National City, 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 Keyshone Pirtle'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 Keyshone Pirtle was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.