Individual provider Active NPI

Kelleigh Sorenson, FNP-C

  • Family Nurse Practitioner
  • Paso Robles, CA
National Provider Identifier
1376282178
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95021825 Issued in CA
Practice address
2727 Buena Vista Dr Ste 201
Paso Robles, CA 93446-8581
Phone
(805) 395-3277
NPI assigned
May 31, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 659914 CA
Family Nurse Practitioner 363LF0000X 95021825 CA Primary

Addresses

Primary practice location

2727 Buena Vista Dr Ste 201
Paso Robles, CA 93446-8581

Mailing address

2727 Buena Vista Dr Ste 201
Paso Robles, CA 93446-8581
Phone (805) 395-3277

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220808000475 CA Practitioner - Nurse Practitioner 5597147520 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
David B. HammerGroup PAC ID 3971559881, 117 clinicians
Adventist Health Physicians NetworkGroup PAC ID 3274580972, 628 clinicians

Practice addresses (Care Compare)

1051 Las Tablas Rd
Templeton, CA 93465-5603

1154 E Grand Ave
Arroyo Grande, CA 93420-2583
Phone (805) 395-3277

Hospital & facility affiliations

  • Central Coast Home Health Inc Home health agency, San Luis Obispo, CA, CCN 059010
  • French Hospital Medical Center Hospital, San Luis Obispo, CA, CCN 050232
  • Adventist Health Twin Cities Hospital, Templeton, CA, CCN 050633

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
64.37
Promoting interoperability
100
Improvement activities
40
Cost
72.88

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as apm
Quality
81.54
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95021825CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Physicians Network Current Accepting new patients
Adventist Health Physicians Network CurrentSince Mar 29, 2024 Accepting new patients
First Choice Physician Partners CurrentSince Jun 6, 2022 Accepting new patients
First Choice Physician Partners Current Accepting new patients
Adventist Health Physicians Network CurrentSince Mar 29, 2024 Accepting new patients
First Choice Physician Partners CurrentSince Jun 6, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1154 E Grand Ave
Arroyo Grande, CA 93420
Phone (805) 395-3277

1524 W Lacey Blvd
Ste 101
Hanford, CA 93230
Phone (559) 583-4695

2727 Buena Vista Dr
Ste 201
Paso Robles, CA 93446
Phone (805) 395-3277

1220 Las Tablas Rd
Ste 141
Templeton, CA 93465
Phone (805) 434-4315

Interoperability endpoints

  • Direct secure messaging: kelleigh.sorenson.1@31068.direct.athenahealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1376282178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 BUENA VISTA DR STE 201",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934468581",
            "telephone_number": "805-395-3277",
            "fax_number": "805-591-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 BUENA VISTA DR STE 201",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934468581",
            "telephone_number": "805-395-3277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORENSON",
        "first_name": "KELLEIGH",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-31",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "659914",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95021825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paso Robles, CA

Sources for this page

Verify at the official NPI Registry.