Individual provider Active NPI

Kaysee Gepila Clindinin, NP

  • Family Nurse Practitioner
  • Fresno, CA
National Provider Identifier
1487477592
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95031755 Issued in CA
Practice address
5150 N 6TH St Ste 100
Fresno, CA 93710-7505
Phone
(559) 543-9602
NPI assigned
Nov 6, 2024
Last updated
Nov 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95031755 CA Primary

Addresses

Primary practice location

5150 N 6TH St Ste 100
Fresno, CA 93710-7505

Mailing address

5150 N 6TH St Ste 100
Fresno, CA 93710-7505

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
I20241217004356 CA Practitioner - Nurse Practitioner 6800323692 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Foundation Medical Group CurrentSince Jul 28, 2025 Accepting new patients
Community Foundation Medical Group CurrentSince Jul 28, 2025 Accepting new patients
Innovative Wound Care Inc CurrentSince Nov 1, 2024 Accepting new patients
Community Foundation Medical Group Current Accepting new patients

Locations

1374 E Alluvial Ave
Fresno, CA 93720
Phone (559) 450-7272

1865 E Alluvial Ave
Ste 102
Fresno, CA 93720
Phone (559) 435-6492

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

5150 N 6th St
Ste 100
Fresno, CA 93710
Phone (559) 222-5362

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1487477592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 N 6TH ST STE 100",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937107505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 N 6TH ST STE 100",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937107505",
            "telephone_number": "559-543-9602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINDININ",
        "first_name": "KAYSEE",
        "middle_name": "GEPILA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-06",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95031755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.