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KELLI STAGER
NPI 1720668593
Psychiatry & Neurology - Psychiatry in Culver City, CA

Active since April 14, 2021PECOS Enrolled
6167 BRISTOL PKWY STE 260, CULVER CITY, CA 90230(424) 331-5604(424) 331-5600 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 6, 2025, Dec 2, 2024, Jun 26, 2024 and 1 more (4 updates tracked since 2021).

About Kelli Stager NPPES

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

KELLI STAGER (NPI 1720668593) is an individual psychiatry provider in Culver City, California, licensed in California (A183161) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1720668593
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameKELLI STAGER
Location Address6167 BRISTOL PKWY STE 260Culver City, CA 90230-6616
Mailing Address3100 Oak Rd Ste 270Walnut Creek, CA 94597-2078 · (925) 944-9711 · Fax (424) 331-5600
Phone(424) 331-5604
Fax(424) 331-5600
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 14, 2021
Last NPPES UpdateOctober 29, 20254 updates tracked since enumeration
NPPES CertifiedOctober 29, 2025
✔ NPI 1720668593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in CA · A183161
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
6167 BRISTOL PKWY STE 260, Culver City, CA 90230
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelli Stager is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1355810391
PECOS Enrollment IDI20260519002528
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.

Medicare Billing Reassignment

Medicare enrollment records show Kelli Stager reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Comprehensive Psychiatric Services, A Medical Group
341 mi
Psychiatry
3100 OAK ROAD, SUITE 270
Walnut Creek, CA 94597
  • Reassigned Medicare billing, California enrollment
  • 149 clinicians in this Medicare group
NPI 1184785834 (925) 944-9711

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 90230 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
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
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 2

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

WILLA J SONG MD
Psychiatry & Neurology (Psychiatry)
6167 BRISTOL PKWY STE 260
CULVER CITY, CA 90230
Los Angeles County (424) 331-5604
DIEM CHAU NGUYEN MD
Psychiatry & Neurology (Psychiatry)
6167 BRISTOL PKWY STE 260
CULVER CITY, CA 90230
Los Angeles County (424) 331-5604

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 Stager's NPI number?

The NPI number for Kelli Stager is 1720668593. It was assigned to this individual provider in the NPPES registry on April 14, 2021.

Where is Kelli Stager located?

Kelli Stager practices at 6167 Bristol Pkwy Ste 260, Culver City, CA 90230. The listed phone number is (424) 331-5604.

What is Kelli Stager's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Kelli Stager enrolled in Medicare?

Yes. Kelli Stager is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelli Stager's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelli Stager reassigns Medicare benefits to Comprehensive Psychiatric Services, A Medical Group (Walnut Creek, 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 Kelli Stager'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 Kelli Stager was last updated on October 29, 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.