KELLY ALLISON PRETORIUS NP, RN
NPI 1760700892
Nurse Practitioner - Pediatrics in San Diego, CA

Active since May 13, 2010PECOS Enrolled
3030 CHILDRENS WAY, SAN DIEGO, CA 92123(858) 966-6789 Get Directions Write a Review

NPPES record last updated: February 2, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kelly Allison Pretorius Np, Rn NPPES

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

KELLY ALLISON PRETORIUS NP, RN (NPI 1760700892) is an individual pediatrics provider in San Diego, California, licensed in California (NP20029) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760700892
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameKELLY ALLISON PRETORIUSCredential: NP, RN
Location Address3030 CHILDRENS WAYSan Diego, CA 92123-4232
Mailing Address3020 Childrens Way, Mc5003San Diego, CA 92123-4223 · (858) 309-6300
Sole ProprietorNo
Enumeration DateMay 13, 2010
Last NPPES UpdateFebruary 2, 2021
NPPES CertifiedFebruary 2, 2021
NPI 1760700892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in CA · NP20029
Also ListedRegistered NurseTaxonomy 163W00000X · License RN751535 (CA)
3030 CHILDRENS WAY, San Diego, CA 92123

Accepted Insurance

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 Allison Pretorius Np, Rn 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 92123 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.

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.

Orthopaedic Surgery
3030 CHILDRENS WAY, STE 410
SAN DIEGO, CA 92123
Pediatrics
3030 CHILDRENS WAY, #112
SAN DIEGO, CA 92123
Pediatrics
3030 CHILDRENS WAY, #102
SAN DIEGO, CA 92123
Pediatrics
3030 CHILDRENS WAY, SUITE 112
SAN DIEGO, CA 92123
Pediatrics
3030 CHILDRENS WAY, #112
SAN DIEGO, CA 92123
Otolaryngology (Pediatric Otolaryngology)
3030 CHILDRENS WAY, SUITE 402
SAN DIEGO, CA 92123
Otolaryngology
3030 CHILDRENS WAY, STE 402
SAN DIEGO, CA 92123
Psychologist (Clinical)
3030 CHILDRENS WAY, SUITE 101
SAN DIEGO, CA 92123

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760700892, enumerated as an "individual" on May 13, 2010.

The provider is located at 3030 CHILDRENS WAY SAN DIEGO, CA 92123 and the phone number is (858) 966-6789.

Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.

The provider might be accepting Accepts: Moda Health Plan, Inc. and Sendero Health Plans,. Please consult your insurance carrier or call the provider to verify.