KELSEY RUPP MD
NPI 1639737000
Surgery - Surgical Critical Care in Santa Maria, CA
About Kelsey Rupp Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELSEY RUPP MD (NPI 1639737000) is an individual surgical critical care provider in Santa Maria, California, licensed in California (A194271) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of Virginia Commonwealth University, School Of Medicine (2019).
NPPES Registry Identity
Specialties & Licenses 2
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
Kelsey Rupp Md 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 Reassignment
Medicare enrollment records show Kelsey Rupp reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Santa Maria, CA 93454
- Reassigned Medicare billing, California enrollment
- 263 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.
SANTA MARIA, CA 93454
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 Kelsey Rupp's NPI number?
The NPI number for Kelsey Rupp is 1639737000. It was assigned to this individual provider in the NPPES registry on May 31, 2019.
Where is Kelsey Rupp located?
Kelsey Rupp practices at 316 S Stratford Ave Ste B, Santa Maria, CA 93454. The listed phone number is (805) 332-8446.
What is Kelsey Rupp's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.
Is Kelsey Rupp enrolled in Medicare?
Yes. Kelsey Rupp 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 Kelsey Rupp's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Rupp reassigns Medicare benefits to Pacific Central Coast Health Centers (Santa Maria, 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 Kelsey Rupp'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 Kelsey Rupp was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Kelsey Rupp, MD · NPI 1639737000
Surgical Critical Care physician in Santa Maria, California. Individual provider, active in the CMS NPPES registry since May 31, 2019.
## Identity
- **NPI:** 1639737000 (Entity type: Individual)
- **Enumerated:** May 31, 2019
- **Primary specialty:** Surgery - Surgical Critical Care · taxonomy 2086S0102X
- **State license:** A194271 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 316 S STRATFORD AVE STE B, Santa Maria, CA 93454-5908
- **Phone:** (805) 332-8446 · **Fax:** (805) 332-8483
## 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:** Pacific Central Coast Health Centers (NPI 1407272636, Santa Maria, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Virginia Commonwealth University, School Of Medicine, class of 2019
## Record status
- **NPPES last updated:** August 4, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1639737000) · Data from the CMS NPPES public registry.