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EMILY PAIGE KUCERA
NPI 1770457400
Nurse Practitioner - Psychiatric/Mental Health in San Diego, CA

Active since October 04, 2025PECOS Enrolled
200 W ARBOR DR, SAN DIEGO, CA 92103(800) 926-8273(888) 539-8781 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Emily Paige Kucera NPPES

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

EMILY PAIGE KUCERA (NPI 1770457400) is an individual psychiatric/mental health provider in San Diego, California, licensed in California (95035699) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1770457400
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameEMILY PAIGE KUCERA
Location Address200 W ARBOR DRSan Diego, CA 92103-9000
Mailing AddressFile 53726Los Angeles, CA 90074-0001 · (800) 926-8273 · Fax (888) 539-8781
Phone(800) 926-8273
Fax(888) 539-8781
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 4, 2025
Last NPPES UpdateNovember 5, 2025
NPPES CertifiedNovember 5, 2025
✔ NPI 1770457400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95035699
200 W ARBOR DR, San Diego, CA 92103
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1350 Dickinson St Ste 325San Diego, CA 92103-1913 · Phone (800) 926-8273 · Fax (888) 539-8781
Location 24510 Executive DrSan Diego, CA 92121-3021 · Phone (800) 926-8273 · Fax (888) 539-8781

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emily Paige Kucera is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375034150
PECOS Enrollment IDI20251119002845
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 Reassignments

2

Medicare enrollment records show Emily Kucera reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Regents Of The University Of California
Same address
Psychiatry
200 W ARBOR DR
San Diego, CA 92103
  • Reassigned Medicare billing, California enrollment
  • 220 clinicians in this Medicare group
NPI 1508968967 (800) 926-8273
Centro De Salud De La Comunidad De San Ysidro,inc
0.4 mi
Federally Qualified Health Center (FQHC)
550 WASHINGTON ST STE 331
San Diego, CA 92103
  • Reassigned Medicare billing, California enrollment
  • 577 clinicians in this Medicare group
NPI 1962177873 (619) 662-4100

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 92103 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.

DR. RAMIN MOTARJEMI M.D.
Internal Medicine (Geriatric Medicine)
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (858) 249-2500
DR. KYLE PALMER EDMONDS M.D., FAAHPM
Hospice, Inpatient
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
SHAWN RAVEENTH VEDAMANI MD
Anesthesiology
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
DALE MICHAEL TRUJILLO NP
Nurse Practitioner
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
DR. EUGENE THOMAS RICHARDSON IV MD
Internal Medicine (Infectious Disease)
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
KAYLEE PETERSEN ARNP
Nurse Practitioner (Psychiatric/Mental Health)
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
IRENE NEVAREZ NP
Nurse Practitioner
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
WILLIAM JAMES MOSS M.D.
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (508) 395-4189

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 Emily Kucera's NPI number?

The NPI number for Emily Kucera is 1770457400. It was assigned to this individual provider in the NPPES registry on October 4, 2025.

Where is Emily Kucera located?

Emily Kucera practices at 200 W Arbor Dr, San Diego, CA 92103. The listed phone number is (800) 926-8273.

What is Emily Kucera's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Emily Kucera enrolled in Medicare?

Yes. Emily Kucera is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Emily Kucera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emily Kucera reassigns Medicare benefits to 2 organizations: Regents Of The University Of California (San Diego, CA) and Centro De Salud De La Comunidad De San Ysidro,inc (San Diego, CA). Each 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 Emily Kucera'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 Emily Kucera was last updated on November 5, 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.