KELSI MARIE RAU RN, NP
NPI 1972173359
Nurse Practitioner in Simi Valley, CA

Q: What is Kelsi Rau's NPI number?

The NPI number for Kelsi Rau is 1972173359. It was assigned to this individual provider in the NPPES registry on June 29, 2021.

Q: What is Kelsi Rau's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelsi Rau was last updated on March 12, 2024. 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.

Active since June 29, 2021PECOS Enrolled

1424 MADERA RD, SIMI VALLEY, CA 93065(805) 522-5722 Get Directions Write a Review

NPPES record last updated: March 12, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 3, 2021, Jun 29, 2021 (2 updates tracked since 2021).

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About Kelsi Marie Rau Rn, Np NPPES

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

KELSI MARIE RAU RN, NP (NPI 1972173359) is an individual nurse practitioner in Simi Valley, California, licensed in California (95028896) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1972173359

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKELSI MARIE RAUCredential: RN, NP

Location Address1424 MADERA RDSimi Valley, CA 93065-3053

Mailing Address137 Peterborough St Apt 14Boston, MA 02215-4212 · (904) 238-5215

Phone(805) 522-5722

Sole ProprietorYes

Enumeration DateJune 29, 2021

Last NPPES UpdateMarch 12, 20242 updates tracked since enumeration

NPPES CertifiedMarch 12, 2024

✔ NPI 1972173359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in CA · 95028896✔ Licensed in MA · 2346727

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License 2346727 (MA)

1424 MADERA RD, Simi Valley, CA 93065

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Secondary Practice Location 1

Location 1137 Peterborough St Apt 14Boston, MA 02215-4212 · Phone (904) 238-5215

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelsi Marie Rau Rn, Np 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.

Medicare Billing Reassignments

Medicare enrollment records show Kelsi Rau reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinicas Del Camino Real Inc

Same address

Federally Qualified Health Center (FQHC)

1424 MADERA RD
Simi Valley, CA 93065

Reassigned Medicare billing, California enrollment
216 clinicians in this Medicare group

NPI 1720362056 (805) 522-5722

Lynn Community Health, Inc.

2,624 mi

Federally Qualified Health Center (FQHC)

269 UNION STREET
Lynn, MA 01901

Reassigned Medicare billing, Massachusetts enrollment
178 clinicians in this Medicare group

NPI 1013997691 (781) 596-2502

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 93065 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

$95.28 typical visit price

range $62.32 – $185.36

Typical copayment $23.82 (range $15.58 – $46.34)

Most-billed visit code 99203

Established Patient

$108.74 typical visit price

range $20.68 – $151.85

Typical copayment $27.18 (range $5.17 – $37.96)

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 10

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

BETTY GUTMAN LCSW

Social Worker (Clinical)