CECILIA KELLEY
NPI 1548090640
Physician Assistant in Santa Maria, CA

Q: What is Cecilia Kelley's NPI number?

The NPI number for Cecilia Kelley is 1548090640. It was assigned to this individual provider in the NPPES registry on August 3, 2024.

Q: What is Cecilia Kelley's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Cecilia Kelley was last updated on August 3, 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 August 03, 2024PECOS EnrolledAccepts Medicare Assignment

1075 E BETTERAVIA RD STE 201, SANTA MARIA, CA 93454(805) 621-7714 Get Directions Write a Review

NPPES record last updated: August 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Cecilia Kelley NPPES

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

CECILIA KELLEY (NPI 1548090640) is an individual physician assistant in Santa Maria, California and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1548090640

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameCECILIA KELLEY

Location Address1075 E BETTERAVIA RD STE 201Santa Maria, CA 93454-7023

Mailing Address1075 E Betteravia Rd Ste 201Santa Maria, CA 93454-7023

Phone(805) 621-7714

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateAugust 3, 2024

NPPES CertifiedAugust 3, 2024

✔ NPI 1548090640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1075 E BETTERAVIA RD STE 201, Santa Maria, CA 93454

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Cecilia Kelley 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 ID8224551650

PECOS Enrollment IDI20250326003107

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 93454 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

$94.71 typical visit price

range $62.01 – $184.40

Typical copayment $23.67 (range $15.50 – $46.10)

Most-billed visit code 99203

Established Patient

$76.76 typical visit price

range $20.60 – $151.20

Typical copayment $19.19 (range $5.15 – $37.80)

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 20

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

NICHOLAS CICO

Student in an Organized Health Care Education/Training Program