KELLI NICOLE LEM
NPI 1598112062
Physician Assistant - Medical in Marina Del Rey, CA

Active since May 15, 2016PECOS EnrolledAccepts Medicare Assignment
13900 MARQUESAS WAY APT 5417, MARINA DEL REY, CA 90292(424) 208-4630 Get Directions Write a Review

NPPES record last updated: February 22, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 22, 2019, Sep 14, 2018, May 15, 2016 (3 updates tracked since 2016).

About Kelli Nicole Lem NPPES

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

KELLI NICOLE LEM (NPI 1598112062) is an individual medical provider in Marina Del Rey, California, licensed in Nevada (PA2010) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, is affiliated with Southern Hills Hospital And Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1598112062
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKELLI NICOLE LEM
Location Address13900 MARQUESAS WAY APT 5417Marina Del Rey, CA 90292-6076
Mailing Address2989 Marble Stone AveHenderson, NV 89044-1689 · (424) 208-4630
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateMay 15, 2016
Last NPPES UpdateFebruary 22, 20193 updates tracked since enumeration
NPI 1598112062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NV · PA2010
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X · License 53766 (CA)
13900 MARQUESAS WAY APT 5417, Marina Del Rey, CA 90292

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

Kelli Nicole Lem 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 ID2062794860
PECOS Enrollment IDI20190404000085
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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
101 services81 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Southern Hills Hospital And Medical Center

Acute Care Hospitals · Las Vegas, NV
4/5 CMS rating
OwnershipProprietary
CMS Certification Number290047
Location9300 West Sunset RdLas Vegas, NV 89148 · Clark County
Emergency services

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 Lem's NPI number?

The NPI number for Kelli Lem is 1598112062. It was assigned to this individual provider in the NPPES registry on May 15, 2016.

Where is Kelli Lem located?

Kelli Lem practices at 13900 Marquesas Way Apt 5417, Marina Del Rey, CA 90292. The listed phone number is (424) 208-4630.

What is Kelli Lem's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kelli Lem enrolled in Medicare?

Yes. Kelli Lem 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.

Is Kelli Lem affiliated with any hospitals?

According to CMS data, Kelli Lem is affiliated with Southern Hills Hospital And Medical Center.

When was this NPI record last updated?

The NPPES record for Kelli Lem was last updated on February 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.