MS. KELLY P WILDOWSKY
NPI 1750933735
Marriage & Family Therapist in Lompoc, CA
About Ms. Kelly P Wildowsky NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KELLY P WILDOWSKY (NPI 1750933735) is an individual marriage & family therapist in Lompoc, California, licensed in California (110520) and active in the NPI registry since July 2019. 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)
Ms. Kelly P Wildowsky is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kelly Wildowsky reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Santa Barbara, CA 93101
- Reassigned Medicare billing, California enrollment
- 10 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.
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOMPOC, CA 93436
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 Wildowsky's NPI number?
The NPI number for Kelly Wildowsky is 1750933735. It was assigned to this individual provider in the NPPES registry on July 10, 2019.
Where is Kelly Wildowsky located?
Kelly Wildowsky practices at 101 S B St, Lompoc, CA 93436. The listed phone number is (805) 667-7486.
What is Kelly Wildowsky's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Kelly Wildowsky enrolled in Medicare?
Yes. Kelly Wildowsky is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kelly Wildowsky's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Wildowsky reassigns Medicare benefits to Family Service Agency Of Santa Barbara County (Santa Barbara, 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 Wildowsky'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 Wildowsky was last updated on July 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Ms. Kelly P Wildowsky · NPI 1750933735
Marriage & Family Therapist provider in Lompoc, California. Individual provider, active in the CMS NPPES registry since July 10, 2019.
## Identity
- **NPI:** 1750933735 (Entity type: Individual)
- **Enumerated:** July 10, 2019
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 110520 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 101 S B ST, Lompoc, CA 93436-6933
- **Phone:** (805) 667-7486
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Family Service Agency Of Santa Barbara County (NPI 1407877566, Santa Barbara, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 10, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1750933735) · Data from the CMS NPPES public registry.