DR. KELLY DON KRUEGER PSYD
NPI 1861767386
Psychologist - Clinical in Santa Ana, CA

Active since March 16, 2012PECOS EnrolledAccepts Medicare Assignment
3711 S SEA CLF, SANTA ANA, CA 92704(714) 889-8046 Get Directions Write a Review

NPPES record last updated: August 29, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1861767386
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. KELLY DON KRUEGERCredential: PSYD
Location Address3711 S SEA CLFSanta Ana, CA 92704-7142
Mailing Address3711 S Sea ClfSanta Ana, CA 92704-7142 · (714) 889-8046
Sole ProprietorYes
Medical School CMSOtherGraduated 2000
Enumeration DateMarch 16, 2012
Last NPPES UpdateAugust 29, 2012
NPI 1861767386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in CA · PSY-24823
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
3711 S SEA CLF, Santa Ana, CA 92704

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID3375979149
PECOS Enrollment IDI20200214001749
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 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.

New Patient
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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.

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 13 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.