JENNIFER MARILYNN KELLEY DNP
NPI 1669364782
Nurse Practitioner in Berkeley, CA

Q: What is Jennifer Kelley's NPI number?

The NPI number for Jennifer Kelley is 1669364782. It was assigned to this individual provider in the NPPES registry on July 15, 2025.

Q: What is Jennifer Kelley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Kelley was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 July 15, 2025PECOS EnrolledAccepts Medicare Assignment

2001 DWIGHT WAY, BERKELEY, CA 94704(510) 204-1591 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jennifer Marilynn Kelley Dnp NPPES

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

JENNIFER MARILYNN KELLEY DNP (NPI 1669364782) is an individual nurse practitioner in Berkeley, California, licensed in California (NP95036322) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Johns Hopkins University School Of Medicine (2025).

NPPES Registry Identity

NPI1669364782

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJENNIFER MARILYNN KELLEYCredential: DNP

Location Address2001 DWIGHT WAYBerkeley, CA 94704-2608

Mailing Address1272 Pine StPalo Alto, CA 94301-3458 · (650) 402-9731

Phone(510) 204-1591

Sole ProprietorNo

Medical School CMSJohns Hopkins University School Of MedicineGraduated 2025

Enumeration DateJuly 15, 2025

Last NPPES UpdateSeptember 4, 2025

NPPES CertifiedSeptember 4, 2025

✔ NPI 1669364782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CA · NP95036322

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License NP95036322 (CA)

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License NP95036322 (CA)

2001 DWIGHT WAY, Berkeley, CA 94704

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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

Jennifer Marilynn Kelley Dnp 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 ID6608362066

PECOS Enrollment IDI20260106001542

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 94704 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

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

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.

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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.

DR. ANTHONY ADRIAN RIENZI M.D.

Psychiatry & Neurology (Psychiatry)

2001 DWIGHT WAY, SUITE 4190
BERKELEY, CA 94704

Alameda County (510) 204-4635

LINDSEY OLANDER

Speech-Language Pathologist

2001 DWIGHT WAY
BERKELEY, CA 94704

Alameda County (510) 204-1205

DR. DAIANA J HARPER M.D.

Psychiatry & Neurology (Psychiatry)

2001 DWIGHT WAY, SUITE 4190
BERKELEY, CA 94704

Alameda County (510) 204-4635

NORTHERN CALIFORNIA HEMATOLOGY AND ONCOLOGY CONSULTANTS, INC

Internal Medicine (Hematology & Oncology)

2001 DWIGHT WAY
BERKELEY, CA 94704

Alameda County (510) 204-6402

MS. PAMELA NICOLE PETERS

Obstetrics & Gynecology

2001 DWIGHT WAY
BERKELEY, CA 94704

Alameda County (510) 204-4444

DR. PATRICK SWIFT M.D.

Radiology (Radiation Oncology)

2001 DWIGHT WAY
BERKELEY, CA 94704

Alameda County (510) 204-2462

CENTER FOR HEALTH & INDEPENDENCE REHAB INC

Physical Medicine & Rehabilitation

2001 DWIGHT WAY, ROOM 2350
BERKELEY, CA 94704

Alameda County (510) 964-0458

CYNTHIA PEERY PTA

Physical Therapy Assistant

2001 DWIGHT WAY
BERKELEY, CA 94704

Alameda County (510) 204-4444

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 Jennifer Kelley's NPI number?

The NPI number for Jennifer Kelley is 1669364782. It was assigned to this individual provider in the NPPES registry on July 15, 2025.

Where is Jennifer Kelley located?

Jennifer Kelley practices at 2001 Dwight Way, Berkeley, CA 94704. The listed phone number is (510) 204-1591.

What is Jennifer Kelley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jennifer Kelley enrolled in Medicare?

Yes. Jennifer Kelley 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.

When was this NPI record last updated?

The NPPES record for Jennifer Kelley was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.