Keyshone D Pirtle, APRN-CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

833097 Issued in NV

Practice address

4921 Dehesa Rd
El Cajon, CA 92019-2929

Phone

(619) 445-0707

Fax

(619) 445-0901

NPI assigned

Aug 1, 2020

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sycuan Tribal GovernmentGroup PAC ID 3971687799, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Sycuan Tribal Government

  • Clinic/Center
  • El Cajon, CA
  • NPI 1427197078
  Medicare reassignment Care Compare group
• Brenton D. Wynn, MD Inc

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • National City, CA
  • NPI 1598953960
  Medicare reassignment NPD
• Innovative Pain Management Medical Group

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • National City, CA
  • NPI 1902330285
  NPD (past)

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

{
    "created_epoch": "1596240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1417567827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10065 OAK CREEK CANYON AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478054",
            "telephone_number": "702-581-4711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4921 DEHESA RD",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920192929",
            "telephone_number": "619-445-0707",
            "fax_number": "619-445-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIRTLE",
        "first_name": "KEYSHONE",
        "middle_name": "D",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-01",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "833097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos Pina
• Mynor Pinillos
• Jon Thad Pinter, LCSW
• Anita Pinto, MD
• Manolo Pirallo, LVN
• Maria Pizano, MA, MFT
• PJN Pharmacies Inc (Nudos Pharmacy)
• Jovan Djuro Plamemac, DDS
• Planned Parenthood of the Pacific Southwest
• Chachadaporn Platek

• Family Nurse Practitioner in El Cajon, CA
• Providers in El Cajon, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.