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KELLI M. HIRAOKA FNP-BC, RN
NPI 1689041212
Nurse Practitioner - Family in Gardena, CA

Active since August 31, 2015PECOS EnrolledAccepts Medicare Assignment
14111 VAN NESS AVE STE 2, GARDENA, CA 90249(310) 516-9152(310) 329-2121 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelli M. Hiraoka Fnp-bc, Rn NPPES

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

KELLI M. HIRAOKA FNP-BC, RN (NPI 1689041212) is an individual family provider in Gardena, California, licensed in California (95019659) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Redondo Beach, and is a graduate of Johns Hopkins University School Of Medicine (2015).

NPPES Registry Identity

NPI1689041212
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLI M. HIRAOKACredential: FNP-BC, RN
Location Address14111 VAN NESS AVE STE 2Gardena, CA 90249-2944
Mailing Address121 S Long Beach BlvdCompton, CA 90221-3423 · (310) 627-5850
Phone(310) 516-9152
Fax(310) 329-2121
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 2015
Enumeration DateAugust 31, 2015
Last NPPES UpdateJuly 22, 2025
NPPES CertifiedJuly 22, 2025
✔ NPI 1689041212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95019659
14111 VAN NESS AVE STE 2, Gardena, CA 90249
Open in Google Maps ↗

Secondary Practice Location 1

Location 1502 Torrance BlvdRedondo Beach, CA 90277-3413 · Phone (310) 316-0811

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans.Insurance ›

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

Kelli M. Hiraoka Fnp-bc, Rn 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 ID8628379054
PECOS Enrollment IDI20231117002009
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
30 services28 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90249 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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

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

JARED MICHAEL KIRSCH MD
Pediatrics
14111 VAN NESS AVE STE 2
GARDENA, CA 90249
Los Angeles County (310) 516-9152

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 Kelli Hiraoka's NPI number?

The NPI number for Kelli Hiraoka is 1689041212. It was assigned to this individual provider in the NPPES registry on August 31, 2015.

Where is Kelli Hiraoka located?

Kelli Hiraoka practices at 14111 Van Ness Ave Ste 2, Gardena, CA 90249. The listed phone number is (310) 516-9152.

What is Kelli Hiraoka's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kelli Hiraoka enrolled in Medicare?

Yes. Kelli Hiraoka 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.

What insurance does Kelli Hiraoka accept?

Health plans from PacificSource Health Plans list Kelli Hiraoka as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelli Hiraoka was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.