Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KALIE NICOLE LI D.O.
NPI 1508158288
Obstetrics & Gynecology in Fairfield, CA

Active since May 12, 2011PECOS EnrolledAccepts Medicare Assignment
1860 PENNSYLVANIA AVE STE 300, FAIRFIELD, CA 94533(707) 646-4100(707) 646-4101 Get Directions Write a Review

NPPES record last updated: September 1, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

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

NPI1508158288
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameKALIE NICOLE LICredential: D.O.
Location Address1860 PENNSYLVANIA AVE STE 300Fairfield, CA 94533-3550
Mailing Address1860 Pennsylvania Ave Ste 300Fairfield, CA 94533-3550 · (707) 646-4100
Fax(707) 646-4101
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMay 12, 2011
Last NPPES UpdateSeptember 1, 2026
NPPES CertifiedSeptember 1, 2026
NPI 1508158288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in CA · 20A14112
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 63056 (NY)
1860 PENNSYLVANIA AVE STE 300, Fairfield, CA 94533

Other Names 1

Former Name (1)Kalie Nicole Brenneman D.o.

Secondary Practice Location 1

Location 11920 Lernhart St Ste ANapa, CA 94559-4442 · Phone (707) 264-1248 · Fax (707) 412-4494

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

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.

PECOS PAC ID9931415551
PECOS Enrollment IDI20150827001555
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.

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
19 services16 patients

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.

New Patient
$145.83 typical visit price
range $65.02 – $191.95
Typical copayment $36.45 (range $16.25 – $47.98)
Most-billed visit code 99204
Established Patient
$80.24 typical visit price
range $21.86 – $157.69
Typical copayment $20.06 (range $5.46 – $39.42)
Most-billed visit code 99213
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 3

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

Dietitian, Registered
1860 PENNSYLVANIA AVE STE 300
FAIRFIELD, CA 94533
Obstetrics & Gynecology
1860 PENNSYLVANIA AVE STE 300
FAIRFIELD, CA 94533
Advanced Practice Midwife
1860 PENNSYLVANIA AVE STE 300
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.

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 22 days 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.