KALIE NICOLE LI D.O.
NPI 1508158288
Obstetrics & Gynecology in Fairfield, CA
About Kalie Nicole Li D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KALIE NICOLE LI D.O. (NPI 1508158288) is an individual obstetrics & gynecology provider in Fairfield, California, licensed in California (20A14112) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Napa, and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kalie Nicole Li D.o. 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.
Medicare Billing Reassignments
3Medicare enrollment records show Kalie Li reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fairfield, CA 94533
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Northbay Physicians Surgery Center, LLC
- 516 clinicians in this Medicare group
Fairfield, CA 94534
- Reassigned Medicare billing, California enrollment
- 225 clinicians in this Medicare group
Woodland, CA 95695
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Dignity Health Medical Foundation
- 1,191 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94533 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FAIRFIELD, CA 94533
FAIRFIELD, CA 94533
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 Kalie Li's NPI number?
The NPI number for Kalie Li is 1508158288. It was assigned to this individual provider in the NPPES registry on May 12, 2011. The provider is also known as Kalie Nicole Brenneman D.O..
Where is Kalie Li located?
Kalie Li practices at 1860 Pennsylvania Ave Ste 300, Fairfield, CA 94533. The listed phone number is (707) 646-4100.
What is Kalie Li's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Kalie Li enrolled in Medicare?
Yes. Kalie Li 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.
Which organizations bill Medicare for Kalie Li's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kalie Li reassigns Medicare benefits to 3 organizations: Northbay Healthcare Group (Fairfield, CA), Northbay Health Medical Foundation (Fairfield, CA) and Chw Medical Foundation (Woodland, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kalie Li's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kalie Li was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Kalie Nicole Li, D.O. · NPI 1508158288
Obstetrics & Gynecology physician in Fairfield, California. Individual provider, active in the CMS NPPES registry since May 12, 2011.
## Identity
- **NPI:** 1508158288 (Entity type: Individual)
- **Enumerated:** May 12, 2011
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 20A14112 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1860 PENNSYLVANIA AVE STE 300, Fairfield, CA 94533-3550
- **Phone:** (707) 646-4100 · **Fax:** (707) 646-4101
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Northbay Healthcare Group (NPI 1780736736, Fairfield, CA); Northbay Health Medical Foundation (NPI 1760283527, Fairfield, CA); Chw Medical Foundation (NPI 1851691042, Woodland, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** September 1, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1508158288) · Data from the CMS NPPES public registry.