MRS. KELLY MCMILLAN RASKOFF M.S.N, RN, NNP-BC
NPI 1669813382
Nurse Practitioner - Neonatal in San Francisco, CA
About Mrs. Kelly Mcmillan Raskoff M.s.n, Rn, Nnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KELLY MCMILLAN RASKOFF M.S.N, RN, NNP-BC (NPI 1669813382) is an individual neonatal provider in San Francisco, California, licensed in California (23090) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Kelly Mcmillan Raskoff M.s.n, Rn, Nnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kelly Raskoff reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Francisco, CA 94116
- Reassigned Medicare billing, California enrollment
- 20,078 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94143 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Kelly Raskoff's NPI number?
The NPI number for Kelly Raskoff is 1669813382. It was assigned to this individual provider in the NPPES registry on July 10, 2013.
Where is Kelly Raskoff located?
Kelly Raskoff practices at 1975 4th St Intensive Care Nursery- 3rd Floor, San Francisco, CA 94143. The listed phone number is (415) 353-1565.
What is Kelly Raskoff's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.
Is Kelly Raskoff enrolled in Medicare?
Yes. Kelly Raskoff is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kelly Raskoff's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Raskoff reassigns Medicare benefits to Permanente Medical Group Inc (San Francisco, 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 Kelly Raskoff'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 Kelly Raskoff was last updated on December 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mrs. Kelly Mcmillan Raskoff, M.S.N, RN, NNP-BC · NPI 1669813382
Neonatal physician in San Francisco, California. Individual provider, active in the CMS NPPES registry since July 10, 2013.
## Identity
- **NPI:** 1669813382 (Entity type: Individual)
- **Enumerated:** July 10, 2013
- **Primary specialty:** Nurse Practitioner - Neonatal · taxonomy 363LN0000X
- **State license:** 23090 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1975 4TH ST, INTENSIVE CARE NURSERY- 3RD FLOOR, San Francisco, CA 94143-2351
- **Phone:** (415) 353-1565
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1841373800, San Francisco, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 30, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1669813382) · Data from the CMS NPPES public registry.