KRISTEN WIKHOLM KIELEY M.D.
NPI 1780810606
Radiology - Diagnostic Radiology in San Luis Obispo, CA
About Kristen Wikholm Kieley M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTEN WIKHOLM KIELEY M.D. (NPI 1780810606) is an individual diagnostic radiology provider in San Luis Obispo, California, licensed in California (A130814) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kristen Wikholm Kieley M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Kristen Kieley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Luis Obispo, CA 93401
- Reassigned Medicare billing, California enrollment
- 4 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.
Areas of Expertise CMS Part B claims 64
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 93401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
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 Kristen Kieley's NPI number?
The NPI number for Kristen Kieley is 1780810606. It was assigned to this individual provider in the NPPES registry on June 5, 2009. The provider is also known as Kristen Myrtle Wikholm M.D..
Where is Kristen Kieley located?
Kristen Kieley practices at 1100 Monterey St Ste 200, San Luis Obispo, CA 93401. The listed phone number is (805) 542-9700.
What is Kristen Kieley's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Kristen Kieley enrolled in Medicare?
Yes. Kristen Kieley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Kristen Kieley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristen Kieley reassigns Medicare benefits to San Luis Imaging Medical Group, Inc (San Luis Obispo, 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 Kristen Kieley'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 Kristen Kieley was last updated on November 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.