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HARUKA KELLEY
NPI 1770822116
Nurse Practitioner - Primary Care in Berkeley, CA

Active since February 05, 2013PECOS Enrolled
2500 MILVIA ST, BERKELEY, CA 94704(510) 204-5600(510) 506-7722 Get Directions Write a Review

NPPES record last updated: April 29, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 29, 2019, Nov 20, 2017 (2 updates tracked since 2017).

About Haruka Kelley NPPES

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

HARUKA KELLEY (NPI 1770822116) is an individual primary care provider in Berkeley, California, licensed in California (95007416) and active in the NPI registry since February 2013. She is enrolled in Medicare PECOS and maintains a secondary practice location in Oakland.

NPPES Registry Identity

NPI1770822116
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameHARUKA KELLEY
Location Address2500 MILVIA STBerkeley, CA 94704
Mailing Address2350 W El Camino Real Fl 2Mountain View, CA 94040-6203 · (510) 204-5600 · Fax (510) 506-7722
Phone(510) 204-5600
Fax(510) 506-7722
Sole ProprietorNo
Enumeration DateFebruary 5, 2013
Last NPPES UpdateApril 29, 20192 updates tracked since enumeration
✔ NPI 1770822116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in CA · 95007416
2500 MILVIA ST, Berkeley, CA 94704
Open in Google Maps ↗

Secondary Practice Location 1

Location 110850 MacArthur BlvdOakland, CA 94605-5266 · Phone (510) 875-2300 ext. 233 · Fax (510) 875-2310

Other Identifiers 1

OtherNP95007416CA · State Medical License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Haruka Kelley 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.

Medicare Billing Reassignment

Medicare enrollment records show Haruka Kelley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Contra Costa County
7.4 mi
Family Planning, Non-Surgical
13601 SAN PABLO AVE
San Pablo, CA 94806
  • Reassigned Medicare billing, California enrollment
  • 530 clinicians in this Medicare group
NPI 1417036484 (925) 957-5429

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 94704 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

LAER E. HILLARY STREETER MD, MPH
Obstetrics & Gynecology
2500 MILVIA ST
BERKELEY, CA 94704
Alameda County (510) 204-5600
ANGELYN R THOMAS M.D.
Obstetrics & Gynecology
2500 MILVIA ST
BERKELEY, CA 94704
Alameda County (510) 204-5600
STEPHANIE MICHELLE TAI FNP, MSN, RN
Nurse Practitioner (Family)
2500 MILVIA ST
BERKELEY, CA 94704
Alameda County (510) 204-5600
ROXANNE FISCELLA, M.D.
Legal Medicine
2500 MILVIA ST, SUITE 116
BERKELEY, CA 94704
Alameda County (510) 843-0692
DR. THUY THI TRAN OD
Optometrist
2500 MILVIA ST, #208
BERKELEY, CA 94704
Alameda County (510) 548-6630
PETRA FROEHLICH LANDMAN MD
Pediatrics
2500 MILVIA ST
BERKELEY, CA 94704
Alameda County (510) 204-5600
RACHEL BUDKER MD
Obstetrics & Gynecology
2500 MILVIA ST
BERKELEY, CA 94704
Alameda County (510) 204-5600
DENISE MICHELLE OCHOA NP-C
Nurse Practitioner (Family)
2500 MILVIA ST
BERKELEY, CA 94704
Alameda County (510) 204-5521

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 Haruka Kelley's NPI number?

The NPI number for Haruka Kelley is 1770822116. It was assigned to this individual provider in the NPPES registry on February 5, 2013.

Where is Haruka Kelley located?

Haruka Kelley practices at 2500 Milvia St, Berkeley, CA 94704. The listed phone number is (510) 204-5600.

What is Haruka Kelley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Haruka Kelley enrolled in Medicare?

Yes. Haruka Kelley is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Haruka Kelley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Haruka Kelley reassigns Medicare benefits to Contra Costa County (San Pablo, 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 Haruka Kelley'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 Haruka Kelley was last updated on April 29, 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.