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DR. KELLI L PELLEGRINI PSYD
NPI 1477677730
Psychologist - Clinical in Canby, OR

Active since March 19, 2007PECOS EnrolledAccepts Medicare Assignment
142 SW 2ND AVE, CANBY, OR 97013(503) 266-5411(503) 266-5415 Get Directions Write a Review

NPPES record last updated: February 25, 2008. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Kelli L Pellegrini Psyd NPPES

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

DR. KELLI L PELLEGRINI PSYD (NPI 1477677730) is an individual clinical provider in Canby, Oregon, licensed in Oregon (1436) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1477677730
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. KELLI L PELLEGRINICredential: PSYD
Location Address142 SW 2ND AVECanby, OR 97013-4152
Mailing AddressPo Box 682Canby, OR 97013 · (503) 266-5411 · Fax (503) 266-5415
Phone(503) 266-5411
Fax(503) 266-5415
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateMarch 19, 2007
Last NPPES UpdateFebruary 25, 2008
✔ NPI 1477677730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in OR · 1436
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
142 SW 2ND AVE, Canby, OR 97013
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. and more.Insurance ›

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

Dr. Kelli L Pellegrini Psyd 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 ID9234277435
PECOS Enrollment IDI20091109000480
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 97013 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
$176.88 typical visit price
range $58.99 – $176.88
Typical copayment $44.22 (range $14.74 – $44.22)
Most-billed visit code 99205
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
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

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

AMANDA S. WARREN, M.D. P.C.
Family Medicine
142 SW 2ND AVE
CANBY, OR 97013
Clackamas County (503) 263-1500

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 Pellegrini's NPI number?

The NPI number for Kelli Pellegrini is 1477677730. It was assigned to this individual provider in the NPPES registry on March 19, 2007.

Where is Kelli Pellegrini located?

Kelli Pellegrini practices at 142 SW 2nd Ave, Canby, OR 97013. The listed phone number is (503) 266-5411.

What is Kelli Pellegrini's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Kelli Pellegrini enrolled in Medicare?

Yes. Kelli Pellegrini 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.

What insurance does Kelli Pellegrini accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Kelli Pellegrini as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelli Pellegrini was last updated on February 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.