Kelly A Kinsley, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

G77600 Issued in CA

Practice address

3103 Concorde Dr
McKinleyville, CA 95519-9305

Phone

(707) 822-3376

Fax

(707) 822-5053

NPI assigned

Oct 25, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

DermatologyAlso: Family Practice

Education

Loma Linda University School of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Pacific Dermatology a Medical CorporationGroup PAC ID 4981704723, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mad River Community Hospital Hospital, Arcata, CA, CCN 050028

Merit-based Incentive Payment System (MIPS)

Final score

90.38 of 100Reported as group

Quality

92.6

Improvement activities

40

Cost

77.79

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• North Pacific Dermatology a Medical Corporation

  • Dermatology Physician
  • McKinleyville, CA
  • NPI 1548489602
  Medicare reassignment Care Compare group NPD
• Mad River Community Anesthesia Medical Group

  • Pain Medicine (Anesthesiology) Physician
  • Arcata, CA
  • NPI 1578599619
  NPD (past)
• St. Joseph Health Northern California, LLC

  • General Acute Care Hospital
  • Santa Rosa, CA
  • NPI 1134152549
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• American Hospital Management Corporation

  • General Acute Care Hospital
  • Arcata, CA
  • NPI 1518996040
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1013091958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 S RAILROAD AVE",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955316821",
            "telephone_number": "707-822-3376",
            "fax_number": "707-822-5053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3103 CONCORDE DR",
            "city": "MCKINLEYVILLE",
            "state": "CA",
            "postal_code": "955199305",
            "telephone_number": "707-822-3376",
            "fax_number": "707-822-5053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINSLEY",
        "first_name": "KELLY",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G77600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Lee Jones, ASW
• Tasha Kahoalii
• Aimee Louise Keiser, OT
• Patricia Kay Kerig, PHD
• Kimberly Lynne Kerpan, COTA
• Kathy Koeppen, LMFT
• Nathaniel Paul Kowolik I
• Blair Kreuzer
• Mason Labash, PHARMD
• Kelsey Fay Landis, RN

• Dermatology Physician in McKinleyville, CA
• Providers in McKinleyville, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.