MRS. KELLY MCMILLAN RASKOFF M.S.N, RN, NNP-BC
NPI 1669813382
Nurse Practitioner - Neonatal in San Francisco, CA

Q: 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.

Q: What is Kelly Raskoff's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

Q: 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.

Active since July 10, 2013PECOS Enrolled

1975 4TH ST, INTENSIVE CARE NURSERY- 3RD FLOOR, SAN FRANCISCO, CA 94143(415) 353-1565 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 30, 2021, Feb 6, 2017 (2 updates tracked since 2017).

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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

NPI1669813382

Entity TypeIndividualFemale

Primary Taxonomy363LN0000X

Provider Legal NameMRS. KELLY MCMILLAN RASKOFFCredential: M.S.N, RN, NNP-BC

Location Address1975 4TH ST, INTENSIVE CARE NURSERY- 3RD FLOORSan Francisco, CA 94143-2351

Mailing Address629 47th AveSan Francisco, CA 94121-2407 · (925) 330-1640

Phone(415) 353-1565

Sole ProprietorNo

Enumeration DateJuly 10, 2013

Last NPPES UpdateDecember 30, 20212 updates tracked since enumeration

✔ NPI 1669813382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LN0000X

License✔ Licensed in CA · 23090

1975 4TH ST, San Francisco, CA 94143

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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 (PECOS)

Mrs. Kelly Mcmillan Raskoff M.s.n, Rn, Nnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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.

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.

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. ABBEY CORIN LEA DPT

Physical Therapist