KEVIN JOHN MAXWELL FNP
NPI 1821384371
Nurse Practitioner - Family in San Diego, CA

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

Active since June 23, 2011PECOS Enrolled

6973 LINDA VISTA RD, SAN DIEGO, CA 92111(858) 279-0925 Get Directions Write a Review

NPPES record last updated: September 27, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Kevin John Maxwell Fnp NPPES

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

KEVIN JOHN MAXWELL FNP (NPI 1821384371) is an individual family provider in San Diego, California, licensed in California (20902) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821384371

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameKEVIN JOHN MAXWELLCredential: FNP

Location Address6973 LINDA VISTA RDSan Diego, CA 92111-6342

Mailing Address1504 Cypress AveSan Diego, CA 92103-4517 · (619) 750-5502

Phone(858) 279-0925

Sole ProprietorYes

Enumeration DateJune 23, 2011

Last NPPES UpdateSeptember 27, 2011

✔ NPI 1821384371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

License✔ Licensed in CA · 20902

6973 LINDA VISTA RD, San Diego, CA 92111

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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)

Kevin John Maxwell Fnp 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 92111 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.