TAKEYSHA KELLY FNP-C
NPI 1497508303
Nurse Practitioner - Family in Redlands, CA

Q: What is Takeysha Kelly's NPI number?

The NPI number for Takeysha Kelly is 1497508303. It was assigned to this individual provider in the NPPES registry on April 9, 2024.

Q: What is Takeysha Kelly's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Takeysha Kelly was last updated on April 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 09, 2024PECOS Enrolled

350 TERRACINA BLVD, REDLANDS, CA 92373(909) 335-5000 Get Directions Write a Review

NPPES record last updated: April 9, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Takeysha Kelly Fnp-c NPPES

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

TAKEYSHA KELLY FNP-C (NPI 1497508303) is an individual family provider in Redlands, California, licensed in California (95029714) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497508303

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTAKEYSHA KELLYCredential: FNP-C

Location Address350 TERRACINA BLVDRedlands, CA 92373-4850

Mailing Address13569 Williamson RdRancho Cucamonga, CA 91739-2071 · (909) 240-8629

Phone(909) 335-5000

Sole ProprietorYes

Enumeration DateApril 9, 2024

NPPES CertifiedApril 9, 2024

✔ NPI 1497508303 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 CA · 95029714

350 TERRACINA BLVD, Redlands, CA 92373

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Takeysha Kelly Fnp-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92373 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

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.

DEBORAH LEE BEHRINGER MD

Emergency Medicine

350 TERRACINA BLVD, BANGASSER WOUND CARE CENTER
REDLANDS, CA 92373

San Bernardino County (909) 478-6731

MARK ALAN HIDAY F.N.P.-C

Nurse Practitioner