KELLEY ELIZABETH DRISCOLL NP
NPI 1881232387
Nurse Practitioner - Family in Long Beach, CA
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
Specialties & Licenses
Secondary Practice Location 1
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
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.
Medicare Billing Reassignments
3Medicare enrollment records show Kelley Driscoll reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Pasadena, CA 91101
- Reassigned Medicare billing, California enrollment
- 241 clinicians in this Medicare group
Philadelphia, PA 19122
- Reassigned Medicare billing, District of Columbia, Maryland, New York and Vermont enrollments
- Medicare enrollment name: Ophelia Medical Group Fl PA
- 12 clinicians in this Medicare group
Plattsburgh, NY 12901
- Reassigned Medicare billing, New York enrollment
- 675 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.
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.
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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organizations bill Medicare for Kelley Driscoll's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelley Driscoll reassigns Medicare benefits to 3 organizations: Carbon Health Medical Group Of California PC (Pasadena, CA), Ophelia Medical Group Fl, P.A. (Philadelphia, PA) and Champlain Valley Physicians Hospital Medical Center (Plattsburgh, NY). 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 Kelley Driscoll'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 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 3 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.
# Kelley Elizabeth Driscoll, NP · NPI 1881232387
Family physician in Long Beach, California. Individual provider, active in the CMS NPPES registry since December 16, 2019.
## Identity
- **NPI:** 1881232387 (Entity type: Individual)
- **Enumerated:** December 16, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 345118 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 3559 E SOUTH ST, Long Beach, CA 90805-4519
- **Phone:** (562) 354-4410 · **Fax:** (888) 972-1912
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Carbon Health Medical Group Of California PC (NPI 1255957205, Pasadena, CA); Ophelia Medical Group Fl, P.A. (NPI 1588244750, Philadelphia, PA); Champlain Valley Physicians Hospital Medical Center (NPI 1033270699, Plattsburgh, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** August 29, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1881232387) · Data from the CMS NPPES public registry.