KELLEY ELIZABETH DRISCOLL NP
NPI 1881232387
Nurse Practitioner - Family in Long Beach, CA

Active since December 16, 2019PECOS EnrolledAccepts Medicare Assignment
3559 E SOUTH ST, LONG BEACH, CA 90805(562) 354-4410(888) 972-1912 Get Directions Write a Review

NPPES record last updated: August 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 29, 2023, Dec 16, 2019 (2 updates tracked since 2019).

About Kelley Elizabeth Driscoll Np NPPES

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

KELLEY ELIZABETH DRISCOLL NP (NPI 1881232387) is an individual family provider in Long Beach, California, licensed in New York (345118) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Plattsburgh, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1881232387
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLEY ELIZABETH DRISCOLLCredential: NP
Location Address3559 E SOUTH STLong Beach, CA 90805-4519
Mailing Address2920 Telegraph Ave Ste 100Berkeley, CA 94705-2031 · (442) 347-7418 · Fax (888) 972-1912
Fax(888) 972-1912
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 16, 2019
Last NPPES UpdateAugust 29, 20232 updates tracked since enumeration
NPPES CertifiedAugust 29, 2023
NPI 1881232387 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 NY · 345118
3559 E SOUTH ST, Long Beach, CA 90805

Secondary Practice Location 1

Location 1214 Cornelia St Ste 203Plattsburgh, NY 12901-2332 · Phone (518) 563-2404

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

Kelley Elizabeth Driscoll Np 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 ID446688782
PECOS Enrollment IDI20200319000990, I20251223004772, I20251223004782
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
28 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90805 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
3559 E SOUTH ST
LONG BEACH, CA 90805

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 Kelley Driscoll's NPI number?

The NPI number for Kelley Driscoll is 1881232387. It was assigned to this individual provider in the NPPES registry on December 16, 2019.

Where is Kelley Driscoll located?

Kelley Driscoll practices at 3559 E South St, Long Beach, CA 90805. The listed phone number is (562) 354-4410.

What is Kelley Driscoll's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kelley Driscoll enrolled in Medicare?

Yes. Kelley Driscoll 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 Kelley Driscoll was last updated on August 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.