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KELLY BROOKS O'CONNOR NP
NPI 1750957627
Nurse Practitioner in San Diego, CA

Active since June 01, 2021PECOS Enrolled
6698 TORENIA TRL, SAN DIEGO, CA 92130(808) 866-6446 Get Directions Write a Review

NPPES record last updated: September 24, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 24, 2021, Jun 1, 2021 (2 updates tracked since 2021).

About Kelly Brooks O'connor Np NPPES

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

KELLY BROOKS O'CONNOR NP (NPI 1750957627) is an individual nurse practitioner in San Diego, California, licensed in California (95016652) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750957627
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKELLY BROOKS O'CONNORCredential: NP
Location Address6698 TORENIA TRLSan Diego, CA 92130-6982
Mailing Address6698 Torenia TrlSan Diego, CA 92130-6982 · (808) 866-6446
Phone(808) 866-6446
Sole ProprietorNo
Enumeration DateJune 1, 2021
Last NPPES UpdateSeptember 24, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2021
✔ NPI 1750957627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95016652
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
6698 TORENIA TRL, San Diego, CA 92130
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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)

Kelly Brooks O'connor Np 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 92130 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

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 O'connor's NPI number?

The NPI number for Kelly O'connor is 1750957627. It was assigned to this individual provider in the NPPES registry on June 1, 2021.

Where is Kelly O'connor located?

Kelly O'connor practices at 6698 Torenia Trl, San Diego, CA 92130. The listed phone number is (808) 866-6446.

What is Kelly O'connor's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kelly O'connor enrolled in Medicare?

Yes. Kelly O'connor is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly O'connor was last updated on September 24, 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.