KELLY VANDER VEEN RN
NPI 1457134868
Nurse Practitioner in Marina, CA

Active since August 17, 2023PECOS EnrolledAccepts Medicare Assignment
2930 2ND AVE STE 120, MARINA, CA 93933(831) 622-6935 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 7, 2025, Aug 17, 2023 (2 updates tracked since 2023).

About Kelly Vander Veen Rn NPPES

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

KELLY VANDER VEEN RN (NPI 1457134868) is an individual nurse practitioner in Marina, California, licensed in California (95032694) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1457134868
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKELLY VANDER VEENCredential: RN
Location Address2930 2ND AVE STE 120Marina, CA 93933-6244
Mailing Address165 Petery LnAptos, CA 95003-9703 · (831) 818-6886
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 17, 2023
Last NPPES UpdateJanuary 7, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2025
NPI 1457134868 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 · 95032694
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.
2930 2ND AVE STE 120, Marina, CA 93933

Other Names 1

Former Name (1)Kelly Burger Rn

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kelly Vander Veen Rn 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 ID1254868474
PECOS Enrollment IDI20241227002970
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 93933 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
$94.44 typical visit price
range $61.69 – $184.30
Typical copayment $23.61 (range $15.42 – $46.07)
Most-billed visit code 99203
Established Patient
$108.04 typical visit price
range $20.34 – $151.02
Typical copayment $27.01 (range $5.08 – $37.75)
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 4

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

Clinic/Center (Community Health)
2930 2ND AVE STE 120
MARINA, CA 93933
Nurse Practitioner (Family)
2930 2ND AVE STE 120
MARINA, CA 93933
Nurse Practitioner (Family)
2930 2ND AVE STE 120
MARINA, CA 93933
Family Medicine
2930 2ND AVE STE 120
MARINA, CA 93933

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 Vander Veen's NPI number?

The NPI number for Kelly Vander Veen is 1457134868. It was assigned to this individual provider in the NPPES registry on August 17, 2023. The provider is also known as Kelly Burger Rn.

Where is Kelly Vander Veen located?

Kelly Vander Veen practices at 2930 2nd Ave Ste 120, Marina, CA 93933. The listed phone number is (831) 622-6935.

What is Kelly Vander Veen's specialty?

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

Is Kelly Vander Veen enrolled in Medicare?

Yes. Kelly Vander Veen 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.

When was this NPI record last updated?

The NPPES record for Kelly Vander Veen was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.