Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MICHELLE IRENE KEROUAC RN
NPI 1801868500
Nurse Practitioner - Family in San Diego, CA

Q: What is Michelle Kerouac's NPI number?

The NPI number for Michelle Kerouac is 1801868500. It was assigned to this individual provider in the NPPES registry on February 6, 2006.

Q: What is Michelle Kerouac's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Michelle Kerouac was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.

Active since February 06, 2006PECOS Enrolled

34800 BOB WILSON DR, SAN DIEGO, CA 92134(619) 532-9021(619) 532-8598 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 13, 2026, Apr 21, 2020, Mar 31, 2020 (3 updates tracked since 2020).

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About Michelle Irene Kerouac Rn NPPES

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

MICHELLE IRENE KEROUAC RN (NPI 1801868500) is an individual family provider in San Diego, California, licensed in California (95001678) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801868500

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMICHELLE IRENE KEROUACCredential: RN

Location Address34800 BOB WILSON DRSan Diego, CA 92134-1098

Mailing Address8810 Rio San Diego DrSan Diego, CA 92108-1698 · (858) 784-1256

Phone(619) 532-9021

Fax(619) 532-8598

Sole ProprietorNo

Enumeration DateFebruary 6, 2006

Last NPPES UpdateJuly 13, 20263 updates tracked since enumeration

NPPES CertifiedApril 21, 2020

✔ NPI 1801868500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95001678

Also ListedRegistered NurseTaxonomy 163W00000X · License 763720 (CA)

34800 BOB WILSON DR, San Diego, CA 92134

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle Irene Kerouac 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 92134 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.

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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.

LORENA MARIE FUJII N.P.

Nurse Practitioner (Pediatrics)