KELLY J WALLIN
NPI 1447575709
Student in an Organized Health Care Education/Training Program in Sacramento, CA

NPI Status: Active since March 30, 2010

Contact Information

2025 MORSE AVE
SACRAMENTO, CA
ZIP 95825
Phone: (916) 973-6961

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  • Individual
  • Male
  • Student in an Organized Health Care Educ...
  • PECOS Enrolled

About KELLY WALLIN

This page provides the complete NPI Profile along with additional information for Kelly Wallin, a primary care provider established in Sacramento, California with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1447575709 assigned on March 2010. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1447575709
Provider Name
KELLY J WALLIN
Gender
Male
Entity Type
Individual
Location Address
2025 MORSE AVE SACRAMENTO, CA 95825
Location Phone
(916) 973-6961
Mailing Address
1890 GENEVA PL SACRAMENTO, CA 95825
Is Sole Proprietor?
No
Enumeration Date
03-30-2010
Last Update Date
12-15-2021
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A primary care provider (PCP) like Kelly Wallin sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
Taxonomy Description
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Medicare Participation & PECOS Enrollment Status

Kelly Wallin is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: No

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Melanoma (skin cancer) excision

Melanoma excision is a procedure where a surgeon removes melanoma, a type of skin cancer, and some surrounding healthy tissue. Local anesthesia is applied to numb the area. The goal is to completely remove the cancer and prevent its spread. Healing time varies.

This service was performed for 1-10 patients

Reviews for KELLY J WALLIN

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1447575709, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
4
Doubled → 8
Pos 4
7
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
7
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
7
Unchanged
Pos 9
0
Doubled → 0
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 5 → 10 → 1 5 → 10 → 1 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 8 + 7 + 1 + 0 + 7 + 1 + 0 + 7 + 0 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1447575709.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pediatrics (Pediatric Pulmonology)
2025 MORSE AVE, PEDIATRIC SUBSPECIALTY CLINIC
SACRAMENTO, CA 95825
Anesthesiology
2025 MORSE AVE, KAISER PERMANENTE - ANESTHESIA 2ND FLR
SACRAMENTO, CA 95825
Emergency Medicine
2025 MORSE AVE
SACRAMENTO, CA 95825
Physician Assistant
2025 MORSE AVE
SACRAMENTO, CA 95825
Audiologist
2025 MORSE AVE
SACRAMENTO, CA 95825
Nurse Anesthetist, Certified Registered
2025 MORSE AVE
SACRAMENTO, CA 95825
Pharmacist
2025 MORSE AVE
SACRAMENTO, CA 95825
Pharmacist
2025 MORSE AVE
SACRAMENTO, CA 95825
Pharmacist
2025 MORSE AVE
SACRAMENTO, CA 95825
Pharmacist
2025 MORSE AVE
SACRAMENTO, CA 95825
Pharmacist
2025 MORSE AVE
SACRAMENTO, CA 95825
Pharmacist
2025 MORSE AVE
SACRAMENTO, CA 95825
Pharmacist
2025 MORSE AVE
SACRAMENTO, CA 95825
Pharmacist
2025 MORSE AVE
SACRAMENTO, CA 95825
Pharmacist
2025 MORSE AVE
SACRAMENTO, CA 95825
Pharmacist
2025 MORSE AVE
SACRAMENTO, CA 95825
Pharmacist
2025 MORSE AVE
SACRAMENTO, CA 95825
Pharmacist
2025 MORSE AVE
SACRAMENTO, CA 95825
Pharmacist
2025 MORSE AVE, INPATIENT PHARMACY
SACRAMENTO, CA 95825
Pharmacist
2025 MORSE AVE
SACRAMENTO, CA 95825

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447575709, enumerated as an "individual" on March 30, 2010.

The provider is located at 2025 MORSE AVE SACRAMENTO, CA 95825 and the phone number is (916) 973-6961.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.