1. Home
  2. Directory
  3. California
  4. Big Bear Lake
  5. Nurse Practitioner
  6. NPI Profile

KELLIE BARBARA ANN PLOENSE FNP-C
NPI 1942669940
Nurse Practitioner - Family in Big Bear Lake, CA

Active since February 18, 2016PECOS Enrolled
41945 BIG BEAR BLVD, BIG BEAR LAKE, CA 92315(909) 866-6567(909) 866-7025 Get Directions Write a Review

NPPES record last updated: September 5, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 5, 2019, Jun 27, 2016, May 16, 2016 and 1 more (4 updates tracked since 2016).

About Kellie Barbara Ann Ploense Fnp-c NPPES

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

KELLIE BARBARA ANN PLOENSE FNP-C (NPI 1942669940) is an individual family provider in Big Bear Lake, California, licensed in California (95003840) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942669940
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLIE BARBARA ANN PLOENSECredential: FNP-C
Location Address41945 BIG BEAR BLVDBig Bear Lake, CA 92315
Mailing AddressP.o. Box 6848, Pmb 278Big Bear Lake, CA 92315
Phone(909) 866-6567
Fax(909) 866-7025
Sole ProprietorYes
Enumeration DateFebruary 18, 2016
Last NPPES UpdateSeptember 5, 20194 updates tracked since enumeration
✔ NPI 1942669940 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 CA · 95003840
41945 BIG BEAR BLVD, Big Bear Lake, CA 92315
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kellie Barbara Ann Ploense Fnp-c 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 92315 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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.

DARLENE LOGAN
Marriage & Family Therapist
41945 BIG BEAR BLVD
BIG BEAR LAKE, CA 92315
San Bernardino County (909) 866-5070
SHARON VOLPICELLI MSW
Counselor (Mental Health)
41945 BIG BEAR BLVD, SUITE 222
BIG BEAR LAKE, CA 92315
San Bernardino County (909) 866-5070
DEEDRA HAZLETON P.T.
Physical Therapist
41945 BIG BEAR BLVD, 209
BIG BEAR LAKE, CA 92315
San Bernardino County (909) 866-6200
MS. LORI FOUST
Counselor
41945 BIG BEAR BLVD, SUITE 200
BIG BEAR LAKE, CA 92315
San Bernardino County (909) 866-5070
MISS LUZ M TUCHAN BA
Counselor
41945 BIG BEAR BLVD
BIG BEAR LAKE, CA 92315
San Bernardino County (909) 866-5070
MRS. KIMBERLY LUKE
Counselor
41945 BIG BEAR BLVD
BIG BEAR LAKE, CA 92315
San Bernardino County (909) 866-5070
ALBERTO SOLIS
Case Manager/Care Coordinator
41945 BIG BEAR BLVD, SUITE 222
BIG BEAR LAKE, CA 92315
San Bernardino County (909) 866-5070
DARRIN WHEATON
Counselor
41945 BIG BEAR BLVD, SUITE, 221
BIG BEAR LAKE, CA 92315
San Bernardino County (909) 866-5070

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 Kellie Ploense's NPI number?

The NPI number for Kellie Ploense is 1942669940. It was assigned to this individual provider in the NPPES registry on February 18, 2016.

Where is Kellie Ploense located?

Kellie Ploense practices at 41945 Big Bear Blvd, Big Bear Lake, CA 92315. The listed phone number is (909) 866-6567.

What is Kellie Ploense's specialty?

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

Is Kellie Ploense enrolled in Medicare?

Yes. Kellie Ploense is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kellie Ploense was last updated on September 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.