Individual provider Active NPI

Christine Chai Kelly, RN, FNP

  • Family Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1912120932
Registry record updated Dec 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN574014 Issued in CA
Practice address
1569 Sloat Blvd
Suite 333
San Francisco, CA 94132-1256
Phone
(415) 353-9339
Fax
(415) 353-3450
NPI assigned
Apr 10, 2007
Last updated
Dec 18, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2012

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 RN574014 CA Primary

Addresses

Primary practice location

1569 Sloat Blvd
Suite 333
San Francisco, CA 94132-1256

Mailing address

1569 Sloat Blvd Ste 333
San Francisco, CA 94132-1255
Phone (415) 353-9339

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
I20041124000644 CA Practitioner - Nurse Practitioner 2365407756 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1569 Sloat Blvd
San Francisco, CA 94132-1256
Phone (415) 476-1000

1635 Divisadero St
Suite 625 Box 1821
San Francisco, CA 94143

2330 Post St
San Francisco, CA 94115-3465
Phone (415) 476-4029

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.89 of 100Reported as group
Quality
81.13
Improvement activities
40
Cost
71.5

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN574014CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco CurrentSince May 30, 2001 Accepting new patients
UCSF Medical Group Business Services CurrentSince Nov 16, 2010 Accepting new patients
UCSF Medical Group Business Services CurrentSince Nov 16, 2010 Accepting new patients
University of California San Francisco CurrentSince May 30, 2001 Accepting new patients
Regents of the University of California CurrentSince Nov 16, 2010 Accepting new patients
University of California San Francisco Current Accepting new patients

Locations

1569 Sloat Blvd
Ste 333
San Francisco, CA 94132
Phone (415) 353-9339

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

2501 Ocean Ave
San Francisco, CA 94132
Phone (415) 585-2748

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355788800000",
    "number": "1912120932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1569 SLOAT BLVD STE 333",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941321255",
            "telephone_number": "415-353-9339",
            "fax_number": "415-353-3450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1569 SLOAT BLVD",
            "address_2": "SUITE 333",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941321256",
            "telephone_number": "415-353-9339",
            "fax_number": "415-353-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "CHRISTINE",
        "middle_name": "CHAI",
        "name_prefix": "Mrs.",
        "credential": "RN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2012-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "RN574014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.