KYLIE MICHELLE MCCONVILLE MD
NPI 1639829500
Psychiatry & Neurology - Neurology in San Francisco, CA

Q: What is Kylie Mcconville's NPI number?

The NPI number for Kylie Mcconville is 1639829500. It was assigned to this individual provider in the NPPES registry on March 24, 2022. The provider is also known as Kylie Michelle Kerker MD.

Q: What is Kylie Mcconville's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Kylie Mcconville was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 24, 2022PECOS Enrolled

1651 4TH ST STE 252, SAN FRANCISCO, CA 94158(415) 353-2069 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 5, 2026, Mar 20, 2026 (2 updates tracked since 2026).

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About Kylie Michelle Mcconville Md NPPES

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

KYLIE MICHELLE MCCONVILLE MD (NPI 1639829500) is an individual neurology provider in San Francisco, California, licensed in California (A188499) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Washington School Of Medicine (2022).

NPPES Registry Identity

NPI1639829500

Entity TypeIndividualFemale

Primary Taxonomy2084N0400X

Provider Legal NameKYLIE MICHELLE MCCONVILLECredential: MD

Location Address1651 4TH ST STE 252San Francisco, CA 94158-2324

Mailing Address505 Parnassus Ave # 114San Francisco, CA 94143-2204

Phone(415) 353-2069

Sole ProprietorYes

Medical School CMSUniversity Of Washington School Of MedicineGraduated 2022

Enumeration DateMarch 24, 2022

Last NPPES UpdateJune 5, 20262 updates tracked since enumeration

NPPES CertifiedJune 5, 2026

✔ NPI 1639829500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in CA · A188499

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1651 4TH ST STE 252, San Francisco, CA 94158

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Other Names 1

Former Name (1)Kylie Michelle Kerker Md

Secondary Practice Locations 2

Location 1505 Parnassus AveSan Francisco, CA 94143-2204 · Phone (415) 353-2273

Location 21001 Potrero Avenue, Bldg. 5, 4MSan Francisco, CA 94110-3518 · Phone (628) 206-4420

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kylie Michelle Mcconville Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5092169219

PECOS Enrollment IDI20260403002303

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 94158 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

$153.83 typical visit price

range $69.00 – $202.35

Typical copayment $38.45 (range $17.25 – $50.58)

Most-billed visit code 99204

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

Most-billed visit code 99214

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 7

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

AHMED MOHAMED TAHA ABDELHAK MB CHB

Psychiatry & Neurology (Neurology)