DR. KELLY DON KRUEGER PSYD
NPI 1861767386
Psychologist - Clinical in Santa Ana, CA
About Dr. Kelly Don Krueger Psyd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KELLY DON KRUEGER PSYD (NPI 1861767386) is an individual clinical provider in Santa Ana, California, licensed in California (PSY-24823) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2000).
NPPES Registry Identity
Specialties & Licenses
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
Dr. Kelly Don Krueger Psyd 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 Reassignments
2Medicare enrollment records show Kelly Krueger reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Newport Beach, CA 92660
- Reassigned Medicare billing, California enrollment
- 31 clinicians in this Medicare group
San Diego, CA 92123
- Reassigned Medicare billing, California enrollment
- 32 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92704 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Kelly Krueger's NPI number?
The NPI number for Kelly Krueger is 1861767386. It was assigned to this individual provider in the NPPES registry on March 16, 2012.
Where is Kelly Krueger located?
Kelly Krueger practices at 3711 S Sea Clf, Santa Ana, CA 92704. The listed phone number is (714) 889-8046.
What is Kelly Krueger's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Kelly Krueger enrolled in Medicare?
Yes. Kelly Krueger 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 organizations bill Medicare for Kelly Krueger's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Krueger reassigns Medicare benefits to 2 organizations: Harbor Psychiatry & Mental Health, Professional Corporation (Newport Beach, CA) and Southern California Psychology Centers, Apc (San Diego, CA). Each 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 Kelly Krueger'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 Kelly Krueger was last updated on August 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Dr. Kelly Don Krueger, PSYD · NPI 1861767386
Clinical provider in Santa Ana, California. Individual provider, active in the CMS NPPES registry since March 16, 2012.
## Identity
- **NPI:** 1861767386 (Entity type: Individual)
- **Enumerated:** March 16, 2012
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** PSY-24823 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3711 S SEA CLF, Santa Ana, CA 92704-7142
- **Phone:** (714) 889-8046
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Harbor Psychiatry & Mental Health, Professional Corporation (NPI 1780050054, Newport Beach, CA); Southern California Psychology Centers, Apc (NPI 1386066363, San Diego, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2000
## Record status
- **NPPES last updated:** August 29, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1861767386) · Data from the CMS NPPES public registry.