KELLY ALLISON PRETORIUS NP, RN
NPI 1760700892
Nurse Practitioner - Pediatrics in San Diego, CA
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
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kelly Allison Pretorius Np, Rn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kelly Pretorius reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Houston, TX 77030
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Texas Childrens Physician Group
- 2,498 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.
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.
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.
SAN DIEGO, CA 92123
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 Pretorius's NPI number?
The NPI number for Kelly Pretorius is 1760700892. It was assigned to this individual provider in the NPPES registry on May 13, 2010.
Where is Kelly Pretorius located?
Kelly Pretorius practices at 3030 Childrens Way, San Diego, CA 92123. The listed phone number is (858) 966-6789.
What is Kelly Pretorius's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Kelly Pretorius enrolled in Medicare?
Yes. Kelly Pretorius is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kelly Pretorius's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Pretorius reassigns Medicare benefits to Texas Children's Physician Group (Houston, TX). 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 Pretorius's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Pretorius accept?
Health plans from Moda Health Plan, Inc. and Sendero Health Plans, Local Nonprofit list Kelly Pretorius 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 Kelly Pretorius was last updated on February 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Kelly Allison Pretorius, NP, RN · NPI 1760700892
Pediatrics physician in San Diego, California. Individual provider, active in the CMS NPPES registry since May 13, 2010.
## Identity
- **NPI:** 1760700892 (Entity type: Individual)
- **Enumerated:** May 13, 2010
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** NP20029 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3030 CHILDRENS WAY, San Diego, CA 92123-4232
- **Phone:** (858) 966-6789
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Texas Children's Physician Group (NPI 1861675506, Houston, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 2, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1760700892) · Data from the CMS NPPES public registry.