Kristyn Gray Pellecchia, N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

21354 Issued in CA

Practice address

140 Arbor Dr # 851
San Diego, CA 92103-2007

Phone

(619) 543-5895

Fax

(619) 543-7013

NPI assigned

Feb 18, 2011

Last updated

May 10, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mental Health Systems IncGroup PAC ID 8628019320, 37 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mental Health Systems, Inc.

  • Community/Behavioral Health Agency
  • San Diego, CA
  • NPI 1760431670
  Medicare reassignment Care Compare group
• Alliance for Wellness, Inc.

  • Psychiatry Physician
  • Inglewood, CA
  • NPI 1124329131
  Medicare reassignment NPD
• Elizabeth Supportive Medical Specialists, a Medical Corporation

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Escondido, CA
  • NPI 1154861979
  Medicare reassignment NPD
• Pacific Mindscape Medical Group

  • Psychiatric/Mental Health Nurse Practitioner
  • San Diego, CA
  • NPI 1952101388
  Medicare reassignment NPD
• Senior Medical Associates, Inc.

  • Geriatric Medicine (Internal Medicine) Physician
  • San Diego, CA
  • NPI 1629253505
  Medicare reassignment NPD
• Mental Health Systems, Inc.

  • Community/Behavioral Health Agency
  • Fresno, CA
  • NPI 1720745169
  NPD
• Mental Health Systems, Inc.

  dba Alianza Wellness Center

  • Community Health Clinic/Center
  • San Diego, CA
  • NPI 1740846542
  NPD
• Tamika Henry MD Inc

  • Family Medicine Physician
  • Glendale, CA
  • NPI 1770381436
  NPD (past)

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

{
    "created_epoch": "1297987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368144000000",
    "number": "1780981266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4845 TULA CT.",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921221407",
            "telephone_number": "858-472-3423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 ARBOR DR # 851",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032007",
            "telephone_number": "619-543-5895",
            "fax_number": "619-543-7013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLECCHIA",
        "first_name": "KRISTYN",
        "middle_name": "GRAY",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-18",
        "last_updated": "2013-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "21354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Pelayo, RN
• Jamie Pelesky
• Joshua Charles Pelfrey, MSW
• William E Pelham III, PHD
• Michelle Terez Pelle, M.D.
• William J. Pellegrini II, LPCC
• Avery Gail Pellegrino
• Jacqueline Elizabeth Pelletier, PNP
• Pierre Alfred Pelletier, MD
• Jessica Pellett

• Nurse Practitioner in San Diego, CA
• Providers in San Diego, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2013; 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.