ANDREW TRAVIS KIRKER
NPI 1619474301
Counselor - Mental Health in San Diego, CA

Active since April 09, 2018PECOS EnrolledAccepts Medicare Assignment
4660 VIEWRIDGE AVE, SAN DIEGO, CA 92123(858) 278-3292 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 7, 2024, Sep 30, 2019, Apr 9, 2018 (3 updates tracked since 2018).

About Andrew Travis Kirker NPPES

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

ANDREW TRAVIS KIRKER (NPI 1619474301) is an individual mental health provider in San Diego, California, licensed in California (109964) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1619474301
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameANDREW TRAVIS KIRKER
Location Address4660 VIEWRIDGE AVESan Diego, CA 92123-1638
Mailing Address4660 Viewridge AveSan Diego, CA 92123-1638 · (858) 278-3292
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateApril 9, 2018
Last NPPES UpdateMay 7, 20243 updates tracked since enumeration
✔ NPI 1619474301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · 109964
4660 VIEWRIDGE AVE, San Diego, CA 92123

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

Andrew Travis Kirker 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 ID941746358
PECOS Enrollment IDI20240722002967
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.

Medicare Billing Reassignment

Medicare enrollment records show Andrew Kirker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health Maintenance Organization
4647 ZION AVE
San Diego, CA 92120
  • Reassigned Medicare billing, California enrollment
  • 13,921 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.

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.

Marriage & Family Therapist
4660 VIEWRIDGE AVE
SAN DIEGO, CA 92123
Marriage & Family Therapist
4660 VIEWRIDGE AVE
SAN DIEGO, CA 92123
Counselor (Mental Health)
4660 VIEWRIDGE AVE
SAN DIEGO, CA 92123
Student in an Organized Health Care Education/Training Program
4660 VIEWRIDGE AVE
SAN DIEGO, CA 92123
Marriage & Family Therapist
4660 VIEWRIDGE AVE
SAN DIEGO, CA 92123
Marriage & Family Therapist
4660 VIEWRIDGE AVE
SAN DIEGO, CA 92123
Community/Behavioral Health
4660 VIEWRIDGE AVE
SAN DIEGO, CA 92123
Counselor
4660 VIEWRIDGE AVE
SAN DIEGO, CA 92123

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 Andrew Kirker's NPI number?

The NPI number for Andrew Kirker is 1619474301. It was assigned to this individual provider in the NPPES registry on April 9, 2018.

Where is Andrew Kirker located?

Andrew Kirker practices at 4660 Viewridge Ave, San Diego, CA 92123. The listed phone number is (858) 278-3292.

What is Andrew Kirker's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Andrew Kirker enrolled in Medicare?

Yes. Andrew Kirker 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 organization bills Medicare for Andrew Kirker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Kirker reassigns Medicare benefits to Southern California Permanente Medical Group (San Diego, CA). The 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 Andrew Kirker'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 Andrew Kirker was last updated on May 7, 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.