KELCEY NISHIHARA - NPI 1821631458 - Physician Assistant in San Francisco, CA

Q: What is Kelcey Nishihara's NPI number?

The NPI number for Kelcey Nishihara is 1821631458. It was assigned to this individual provider in the NPPES registry on October 27, 2019.

Q: What is Kelcey Nishihara's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelcey Nishihara was last updated on April 27, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

On this page

About Kelcey Nishihara NPPES

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

KELCEY NISHIHARA (NPI 1821631458) is an individual physician assistant in San Francisco, California, licensed in California (PA58228) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1821631458

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKELCEY NISHIHARA

Location Address1375 SUTTER ST STE 105San Francisco, CA 94109-5465

Mailing Address1375 Sutter St Ste 105San Francisco, CA 94109-5465 · (415) 379-9600 · Fax (415) 379-9823

Phone(415) 379-9600

Fax(415) 379-9823

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateOctober 27, 2019

Last NPPES UpdateApril 27, 20263 updates tracked since enumeration

NPPES CertifiedApril 27, 2026

✔ NPI 1821631458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in CA · PA58228

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1375 SUTTER ST STE 105, San Francisco, CA 94109

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelcey Nishihara is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9931678224

PECOS Enrollment IDI20260515001562

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 94109 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

$84.91 typical visit price

range $23.44 – $166.46

Typical copayment $21.22 (range $5.86 – $41.61)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.