DR. KELLIE KUTE JENSEN MD
NPI 1457439291
Pediatrics in Vallejo, CA

Q: What is Kellie Kute Jensen's NPI number?

The NPI number for Kellie Kute Jensen is 1457439291. It was assigned to this individual provider in the NPPES registry on November 1, 2006. The provider is also known as Dr. Kellie Kute MD.

Q: What is Kellie Kute Jensen's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since November 01, 2006PECOS Enrolled

975 SERENO DR, VALLEJO, CA 94589(707) 651-3347 Get Directions Write a Review

NPPES record last updated: January 10, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 10, 2022, May 2, 2018 (2 updates tracked since 2018).

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About Dr. Kellie Kute Jensen Md NPPES

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

DR. KELLIE KUTE JENSEN MD (NPI 1457439291) is an individual pediatrics provider in Vallejo, California, licensed in California (A79996) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457439291

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. KELLIE KUTE JENSENCredential: MD

Location Address975 SERENO DRVallejo, CA 94589-2441

Mailing Address1800 Harrison St Fl 7Oakland, CA 94612-3466 · (510) 625-6262

Phone(707) 651-3347

Sole ProprietorNo

Enumeration DateNovember 1, 2006

Last NPPES UpdateJanuary 10, 20222 updates tracked since enumeration

✔ NPI 1457439291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · A79996

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

975 SERENO DR, Vallejo, CA 94589

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Other Names 1

Other Name (5)Dr. Kellie Kute Md

Other Identifiers 1

Medicaid00A799960CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kellie Kute Jensen Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Kellie Kute Jensen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc

0.1 mi

Internal Medicine

975 SERENO DRIVE
Vallejo, CA 94589

Reassigned Medicare billing, California enrollment
20,078 clinicians in this Medicare group

NPI 1336222397 (707) 651-1000

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 94589 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

$98.85 typical visit price

range $65.02 – $191.95

Typical copayment $24.71 (range $16.25 – $47.98)

Most-billed visit code 99203

Established Patient

$113.05 typical visit price

range $21.86 – $157.69

Typical copayment $28.26 (range $5.46 – $39.42)

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 20

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

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