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MRS. COURTNEY LEE KELLY NP
NPI 1831426725
Nurse Practitioner in Vista, CA

Active since November 12, 2009PECOS Enrolled
1000 VALE TERRACE DR, VISTA, CA 92084(760) 631-5000 Get Directions Write a Review

NPPES record last updated: December 29, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 29, 2020, Nov 22, 2020 (2 updates tracked since 2020).

About Mrs. Courtney Lee Kelly Np NPPES

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

MRS. COURTNEY LEE KELLY NP (NPI 1831426725) is an individual nurse practitioner in Vista, California, licensed in California (19352) and active in the NPI registry since November 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831426725
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. COURTNEY LEE KELLYCredential: NP
Location Address1000 VALE TERRACE DRVista, CA 92084-5218
Mailing Address1000 Vale Terrace DrVista, CA 92084-5218 · (760) 631-5000
Phone(760) 631-5000
Sole ProprietorNo
Enumeration DateNovember 12, 2009
Last NPPES UpdateDecember 29, 20202 updates tracked since enumeration
NPPES CertifiedDecember 29, 2020
✔ NPI 1831426725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 19352
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1000 VALE TERRACE DR, Vista, CA 92084
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Other Names 1

Former Name (1)Miss Courtney Lee Copeland Np

Other Identifiers 1

Other19352CA · License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Courtney Lee Kelly Np 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 92084 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.

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.

CHRISTINE DOUGHERTY LCSW
Social Worker (Clinical)
1000 VALE TERRACE DR
VISTA, CA 92084
San Diego County (760) 631-5000
PATRICIA R HOLLAND
Nurse Practitioner (Pediatrics)
1000 VALE TERRACE DR
VISTA, CA 92084
San Diego County (760) 631-5000
DIANA J MENDOZA
Case Manager/Care Coordinator
1000 VALE TERRACE DR
VISTA, CA 92084
San Diego County (760) 407-1220
MS. JESSICA HERNANDEZ
Nurse Practitioner (Family)
1000 VALE TERRACE DR
VISTA, CA 92084
San Diego County (760) 631-5000
ELIZABETH KETCHEL APCC
Counselor (Mental Health)
1000 VALE TERRACE DR
VISTA, CA 92084
San Diego County (760) 631-5000
INGRID DEKKERS-O'HARE NP
Nurse Practitioner
1000 VALE TERRACE DR
VISTA, CA 92084
San Diego County (760) 631-5000
LEILA SHABANIAN M.D.
Hospitalist
1000 VALE TERRACE DR
VISTA, CA 92084
San Diego County (760) 631-5000
PAMELA N KINGERY NP
Nurse Practitioner (Women's Health)
1000 VALE TERRACE DR
VISTA, CA 92084
San Diego County (760) 407-1220

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 Courtney Kelly's NPI number?

The NPI number for Courtney Kelly is 1831426725. It was assigned to this individual provider in the NPPES registry on November 12, 2009. The provider is also known as Miss Courtney Lee Copeland Np.

Where is Courtney Kelly located?

Courtney Kelly practices at 1000 Vale Terrace Dr, Vista, CA 92084. The listed phone number is (760) 631-5000.

What is Courtney Kelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Courtney Kelly enrolled in Medicare?

Yes. Courtney Kelly is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Courtney Kelly was last updated on December 29, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.